FluorideIn drinking water · contaminant reference
Standards with a claim for it
58Also called F, Fluoridation.
Where it gets in
At the source
In treatment
Forms or is added in treatment
In the pipes
At your tap
- Legal limit
- 4.0 ppm
- Health goal
- 4.0 ppm
Values in parts per million (ppm). Limits checked Oct. 4, 2026.
Where the rules stand
Final MCL and health goal of 4.0 ppm (4.0 mg/L), last reviewed by EPA in 2024. EPA also has a non-enforceable secondary standard of 2.0 ppm, for tooth discoloration. EPA announced a new review on April 7, 2025. It released an assessment plan on January 22, 2026 and a study protocol on August 3, 2026. As of Oct. 4, 2026, EPA has not proposed any change to the MCL.
Has your utility been cited for it?
Federal data carries fluoride results only when a violation occurred. The measured level is in your utility’s own annual report. How to read it.
What EPA says about health
EPA lists bone disease, with pain and tenderness of the bones, from long-term exposure above the MCL. EPA also says children may get mottled teeth.
Where it comes from
Many utilities add fluoride, which EPA describes as a water additive that promotes strong teeth. EPA also lists erosion of natural deposits and discharge from fertilizer and aluminum factories.
What handles it
- NSF/ANSI 58
Claim to look for: Fluoride Reduction
NSF listing wording for reverse osmosis systems. WQA wording: "Fluoride."
Filters with that claim on a certifier’s listing
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Under-sink reverse osmosis
- IAPMO listing:NSF/ANSI 42NSF/ANSI 53NSF/ANSI 58checked Oct. 4, 2026
Countertop reverse osmosis
- IAPMO listing:NSF/ANSI 42NSF/ANSI 53NSF/ANSI 58NSF/ANSI 401checked Oct. 4, 2026
Sources
- National Primary Drinking Water Regulations, U.S. EPA. Checked Oct. 4, 2026.
- Secondary Drinking Water Standards: Guidance for Nuisance Chemicals, U.S. EPA. Checked Oct. 4, 2026.
- Fluoride in Drinking Water, U.S. EPA. Checked Oct. 4, 2026.
- Search for NSF Certified Drinking Water Treatment Units (standards and reduction claims lists), NSF. Checked Oct. 4, 2026.
- Contaminant Reduction Claims Guide, NSF. Checked Oct. 4, 2026.
- Find WQA Certified Products (Gold Seal listings by standard and claim), Water Quality Association. Checked Oct. 4, 2026.
- SDWA Dataset Download Summary (codes from SDWA_REF_CODE_VALUES.csv, 2026 Q2 extract), U.S. EPA ECHO. Checked Oct. 4, 2026.