The disturbing thing is the notion that a vitamin is a drug.
Niacin that is used for this purpose probably does need to be treated like a drug. There is the possibility of a very bad side effect.
I forgot. There's also a difference between a a physiologic dose, such as in a multivitamin(MVI), and a pharmacologic dose. My MVI has 20 milligrams of niacin as its niacinamide analog. This study used doses up to 100 times that amount of niacin, IIRC.