FDA Denies Thousands of Flavored E-Cigarettes and Targets Youth-Appealing Disposables (2023)

On 12 May 2023 the U.S. Food and Drug Administration issued marketing denial orders to 10 companies covering about 6,500 flavored e-liquid and e-cigarette products, finding that their applications did not show a benefit to adult smokers large enough to outweigh what the agency called “the known and substantial risk of flavored e-liquid and e-cigarette products to youth.” Over the rest of 2023 the agency placed the most popular youth-used disposable brands on import alert, sent hundreds of warning letters to stores and online sellers, sought the maximum fines against retailers, and, with U.S. Customs and Border Protection, seized about 1.4 million illegal e-cigarettes at a Los Angeles airport cargo site. In November the FDA and the Centers for Disease Control and Prevention (CDC) reported that e-cigarette use among high school students had fallen from 14.1% to 10% in a year. Nicotine itself is described on the site’s Nicotine page.

This page reports what the FDA documents say: what the agency did and when, what a marketing denial order is, why flavors were the deciding question, the import alerts, inspection blitzes and fines that followed, the 2023 youth survey figures, the December seizure, what the actions do not do, their status as of 18 October 2026, and how they fit earlier and later FDA tobacco actions. No company, brand, retailer or product is named here; the FDA’s releases name them, and those that carry a brand in the web address are listed as plain text.

Table of Contents

  1. What the FDA Did
  2. The Marketing Denial Orders of 12 May 2023
  3. Why Flavors Were the Deciding Question
  4. Import Alerts and Retailer Inspection Blitzes
  5. E-Cigarettes Made to Look Like Toys, School Supplies and Drinks
  6. Fines Against Retailers
  7. The 2023 National Youth Tobacco Survey
  8. The December Seizure at Los Angeles
  9. How the Enforcement Count Grew Through 2023
  10. What These Actions Do Not Do
  11. Dates and Legal Status as of 18 October 2026
  12. How the 2023 Actions Fit Earlier and Later FDA Actions
  13. Primary Documents
  14. Key Research Papers
  15. Connections
  16. Featured Videos

1. What the FDA Did

The 2023 story is not one rule but a run of orders and enforcement actions by the FDA’s Center for Tobacco Products (CTP), the part of the agency that regulates cigarettes, e-cigarettes and other tobacco and nicotine products. The main steps, as the FDA’s own announcements describe them:

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2. The Marketing Denial Orders of 12 May 2023

Under federal law a new tobacco product, which includes an e-cigarette, needs a marketing authorization from the FDA before it can be legally sold. A company asks for one through a premarket tobacco product application (PMTA). If the FDA concludes the application does not meet the legal standard, it issues a marketing denial order (MDO).

On 12 May 2023 the FDA issued MDOs to 10 companies which, together, made and marketed approximately 6,500 flavored e-liquid and e-cigarette products. The CTP Newsroom notice says the applications “did not provide sufficient evidence to show that permitting the marketing of these products would be appropriate for the protection of the public health.” Flavors among the denied products included citrus, strawberry cheesecake, cool mint and menthol. The FDA named eight of the companies and withheld the names of the other two “to protect potential confidential commercial information.”

The notice spells out what a denial means in practice: products subject to an MDO “may not be offered for sale, distributed or marketed in the United States,” may not be shipped across state lines, and a product already on the market “must be removed from the market or risk enforcement.” Retailers who sell these products, it adds, “risk FDA enforcement action.”

The orders were part of a much larger review. The FDA said it had received applications for over 26 million new tobacco products since spring 2020, most of them for e-cigarettes, and had completed review and taken action on over 99% of them.

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3. Why Flavors Were the Deciding Question

The FDA evaluates a PMTA against a public health standard that, in the notice’s words, “considers the risks and benefits of the product on the population as a whole.” For these applications the agency asked one central question: did the flavored products show an added benefit to adult smokers, compared with tobacco-flavored e-cigarettes, that could outweigh the risk flavored products pose to young people? The FDA found that the evidence submitted “was not sufficient to demonstrate such a benefit.”

The director of the FDA’s Center for Tobacco Products stated that it is the applicant’s responsibility to supply that evidence, that “That bar of scientific sufficiency has not been met to date for any flavored e-cigarette product, including in this instance,” and that “if an applicant were to meet that bar, FDA would authorize the product.” The director of the center’s Office of Science said the decision “was based on the lack of scientific evidence provided in the applications.”

The CTP’s 2023 news index lists further denial orders during the year for individual products of other makers, among them menthol-flavored e-cigarettes in January, March and July and six flavored products in October.

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4. Import Alerts and Retailer Inspection Blitzes

Import alerts. In May 2023 the FDA issued import alerts for all products under the two most popular youth-appealing disposable brands. An import alert places products on the agency’s “red list,” which makes them subject to Detention Without Physical Examination: the FDA can hold a shipment at the border without opening and inspecting it. The December release adds that certain firms associated with those brands were also placed on the red list in May.

The May blitz. On 31 May 2023 the FDA announced warning letters to 30 retailers, including one distributor, after investigations of hundreds of retailers and distributors. All the products cited were disposable e-cigarettes, which the release calls “the most commonly used e-cigarette product type among youth.” According to the 2022 National Youth Tobacco Survey, the two brands involved were the first and third most popular among young e-cigarette users, and about 20 percent of youth users said they usually used one of them.

The June blitz. On 22 June 2023 the FDA announced warning letters to 189 retailers for selling two other unauthorized disposable brands. The FDA Commissioner said the agency “is prepared to use all of its authorities to ensure these, and other illegal and youth-appealing products, stay out of the hands of kids.” The release cited two CDC studies published in the Morbidity and Mortality Weekly Report (both listed under Key Research Papers):

What a warning letter is. The FDA explains that it generally sends a warning letter the first time an inspection or investigation reveals a violation. Recipients have 15 working days to describe how they will correct it. The agency says most recipients do correct the violation; failure to do so can lead to an injunction, seizure or civil money penalties.

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5. E-Cigarettes Made to Look Like Toys, School Supplies and Drinks

On 23 August 2023 the FDA sent warning letters to 15 online retailers for selling unauthorized e-cigarettes packaged to resemble:

The CTP director called the designs “a shamelessly egregious attempt to target kids.” Because the products “can be deceiving,” the agency said it was also seeking to raise awareness among parents, teachers and other adults before the new school year, and pointed to its Vaping Prevention and Education Resource Center, an online hub of lesson plans and materials that includes how to spot “stealth” and disposable e-cigarettes.

On 16 November 2023 the FDA warned seven more online retailers about e-cigarettes packaged to look like milk cartons, soft-drink bottles, slushies, dice, phones and action figures. The notice says such designs may help young people hide the devices from adults, and that a product confused with an everyday object could have its contents “accidently ingested by young children.” The CTP director noted that these products contain nicotine, “which is highly addictive and can harm the developing adolescent brain.”

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6. Fines Against Retailers

A civil money penalty (CMP) is a fine the FDA can seek through an administrative complaint. On 28 September 2023 the FDA filed CMP complaints against 22 retailers for selling one unauthorized disposable brand. Each retailer had already received a warning letter, and follow-up inspections found the violations had not been corrected.

On 2 November 2023 the FDA announced that it was seeking penalties of similar amounts against 20 more retailers that had been warned and were found still selling the same brand, which the 2023 youth survey identified as the most popular among young users.

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7. The 2023 National Youth Tobacco Survey

The National Youth Tobacco Survey (NYTS) is run by the FDA and the CDC. The 2023 results, collected between March and June 2023 and released on 2 November 2023, showed:

The CTP director called the high-school decline “a win for public health” and added that “There’s more work to be done to build on this progress.” The release states that “Youth use of tobacco products in any form – including e-cigarettes – is unsafe.”

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8. The December Seizure at Los Angeles

On 14 December 2023 the FDA and U.S. Customs and Border Protection announced the seizure of approximately 1.4 million units of unauthorized e-cigarettes, with an estimated retail value of more than $18 million. The seizures came from a three-day joint operation at a cargo examination site at Los Angeles International Airport, prepared over months of reviewing shipping invoices, and covered 41 shipments.

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9. How the Enforcement Count Grew Through 2023

Each FDA release in 2023 restated the agency’s running totals for e-cigarette enforcement. Read in order, they show the scale of the year:

Throughout the year the count of legal options stayed the same: the FDA said it had authorized 23 tobacco-flavored e-cigarette products and devices, “the only e-cigarette products that currently may be lawfully sold in the U.S.” The figure was repeated in the May, June, September and December releases.

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10. What These Actions Do Not Do

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11. Dates and Legal Status as of 18 October 2026

Status as of 18 October 2026: the 12 May 2023 marketing denial orders are final orders. The enforcement totals above are a snapshot of 2023; the later status of individual products, letters and penalty cases was not checked one by one.

A check of the Federal Register through 18 October 2026 found two later FDA documents on e-cigarette applications and enforcement:

A guidance, as the 2026 draft’s abstract puts it, describes the FDA’s “current thinking” and provides recommendations. A Federal Register docket is the public file, on regulations.gov, that holds a document and the comments on it.

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12. How the 2023 Actions Fit Earlier and Later FDA Actions

The 2023 orders came out of the wave of applications the FDA says it received from spring 2020 onward, of which it had acted on over 99% by May 2023. Earlier enforcement steps that the 2023 releases mention include the first permanent-injunction complaints against six e-cigarette manufacturers in October 2022 and the first civil money penalty complaints against manufacturers in February 2023.

Two technical rules frame the year. On 20 March 2023 the FDA published conforming changes to its tobacco regulations (88 FR 16551, Docket No. FDA-2022-N-3262), required by the Consolidated Appropriations Act of 2022, which amended the legal term “tobacco product” to include products that contain nicotine “from any source.” On 30 August 2024 the FDA published conforming changes (89 FR 70483, effective 30 September 2024) that raised the federal minimum age of sale for cigarettes, smokeless tobacco and covered tobacco products in its regulations from 18 to 21, following the Further Consolidated Appropriations Act, 2020.

Later FDA tobacco actions are reported on their own pages: the withdrawal of the menthol cigarette and flavored cigar standards (2025) and the first marketing authorization for nicotine pouches (2025). Another 2023 page, Xylazine Import Restriction, describes the same import-alert tool used against a different product.

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13. Primary Documents

  1. U.S. Food and Drug Administration, Center for Tobacco Products (2023). FDA Issues Marketing Denial Orders for Approximately 6,500 Flavored E-Cigarette Products. CTP Newsroom, 12 May 2023 — fda.gov CTP Newsroom
  2. U.S. Food and Drug Administration (2023). FDA Conducts Retailer Inspection Blitz, Cracks Down on Illegal Sales of Popular Disposable E-cigarettes. News release, 31 May 2023 — fda.gov news release
  3. U.S. Food and Drug Administration (2023). News release of 22 June 2023 on an inspection blitz leading to more than 180 warning letters to retailers (its title names two brands). Address, given as plain text because it carries a brand name: https://www.fda.gov/news-events/press-announcements/fda-inspection-blitz-leads-more-180-warning-letters-retailers-illegal-sale-youth-appealing-elf-bar
  4. U.S. Food and Drug Administration, Center for Tobacco Products (2023). Retailers Warned to Stop Selling Illegal E-Cigarettes Resembling Youth-Appealing Characters, School Supplies, Toys, and Drinks. CTP Newsroom, 23 August 2023 — fda.gov CTP Newsroom
  5. U.S. Food and Drug Administration (2023). FDA Seeks Fines Against 22 Retailers for Selling Illegal Youth-Appealing E-Cigarettes. News release, 28 September 2023 — fda.gov news release
  6. U.S. Food and Drug Administration (2023). National Survey Shows Drop in E-Cigarette Use Among High School Students. News release, 2 November 2023 — fda.gov news release
  7. U.S. Food and Drug Administration, Center for Tobacco Products (2023). FDA Warns Retailers to Stop Selling Illegal Youth-Appealing E-Cigarettes Disguised as Everyday Items. CTP Newsroom, 16 November 2023 — fda.gov CTP Newsroom
  8. U.S. Food and Drug Administration (2023). Joint Federal Operation Results in Seizure of More Than $18 Million in Illegal E-Cigarettes. News release, 14 December 2023 — fda.gov news release
  9. U.S. Food and Drug Administration, Center for Tobacco Products. 2023 News and Events (index of the year’s announcements) — fda.gov CTP 2023 index
  10. Food and Drug Administration, HHS (2023). Definition of the Term “Tobacco Product” in Regulations Issued Under the Federal Food, Drug, and Cosmetic Act; Rule. Federal Register 88:16551, 20 March 2023. Docket No. FDA-2022-N-3262 — FR Doc. 2023-03950
  11. Food and Drug Administration, HHS (2024). Prohibition of Sale of Tobacco Products to Persons Younger Than 21 Years of Age; Final Rule. Federal Register 89:70483, 30 August 2024. Docket No. FDA-2020-N-1395 — FR Doc. 2024-19481
  12. Food and Drug Administration, HHS (2026). Flavored Electronic Nicotine Delivery Systems (ENDS) Premarket Applications—Considerations Related to Youth Risk; Draft Guidance for Industry; Availability. Federal Register 91:11980, 11 March 2026. Docket No. FDA-2026-D-1817 — FR Doc. 2026-04732
  13. Food and Drug Administration, HHS (2026). Enforcement Priorities for Certain New Tobacco Products Marketed Without Premarket Authorization; Guidance for Industry; Availability. Federal Register 91:25892, 12 May 2026. Docket No. FDA-2026-D-5083 — FR Doc. 2026-09368

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Key Research Papers

  1. Birdsey J, Cornelius M, Jamal A, Park-Lee E, Cooper MR, Wang J, Sawdey MD, Cullen KA, Neff L (2023). Tobacco Product Use Among U.S. Middle and High School Students — National Youth Tobacco Survey, 2023. MMWR Morbidity and Mortality Weekly Report 72(44):1173-1182 — PubMed PMID: 37917558
  2. Ali FRM, Seidenberg AB, Crane E, Seaman E, Tynan MA, Marynak K (2023). E-cigarette Unit Sales by Product and Flavor Type, and Top-Selling Brands, United States, 2020-2022. MMWR Morbidity and Mortality Weekly Report 72(25):672-677 — PubMed PMID: 37347717
  3. Tashakkori NA, Rostron BL, Christensen CH, Cullen KA (2023). Notes from the Field: E-Cigarette-Associated Cases Reported to Poison Centers — United States, April 1, 2022-March 31, 2023. MMWR Morbidity and Mortality Weekly Report 72(25):694-695 — PubMed PMID: 37347709
  4. Cooper M, Park-Lee E, Ren C, Cornelius M, Jamal A, Cullen KA (2022). Notes from the Field: E-cigarette Use Among Middle and High School Students — United States, 2022. MMWR Morbidity and Mortality Weekly Report 71(40):1283-1285 — PubMed PMID: 36201370
  5. Leventhal AM, Miech R, Barrington-Trimis J, Johnston LD, O'Malley PM, Patrick ME (2019). Flavors of e-Cigarettes Used by Youths in the United States. JAMA 322(21):2132-2134 — PubMed PMID: 31688891
  6. Kasza KA, Hammond D, Reid JL, Rivard C, Hyland A (2023). Youth Use of e-Cigarette Flavor and Device Combinations and Brands Before vs After FDA Enforcement. JAMA Network Open 6(8):e2328805 — PubMed PMID: 37578794

The first paper is the CDC and FDA report of the 2023 National Youth Tobacco Survey released on 2 November 2023. The second and third are the two CDC studies, on retail sales and on poison-center cases, cited in the FDA’s June 2023 release. The fourth reports the 2022 survey figures that the 2023 comparison starts from. The last two are independent studies of which e-cigarette flavors and device types young people in the United States use.

PubMed Topic Searches

  1. PubMed: youth e-cigarette flavors
  2. PubMed: disposable e-cigarettes and adolescents
  3. PubMed: e-cigarette exposures in children reported to poison centers

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Connections

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