In one a Fedex driver and conspirators would repackage a large shipment of painkillers. They'd take a single bottle from the a few boxes on each pallet and seal them back up in such a way that was very hard to spot.
Another time they'd take like 10% of the pills out of a bunch of bottles.
Many times the driver would get lunch and the truck would be stolen. Like once a year.
https://www.nsf.org/knowledge-library/importance-nsf-certifi...
And buy direct from the manufacturer. If you order through a reseller like Amazon then there's always a risk of getting counterfeit products if someone tampered with the supply chain.