Yeah, the problem is how consistently they apply those great in theory QA processes, because in practice they have a very high frequency of major failures of execution resulting in substantial contamination and inappropriate dosing, according to FDA findings. That’s documented. Much worse than such manufacturers in the West (who also occasionally fail). I am very wary of this. The FDA cannot make unannounced control visits to India based pharmaceutical manufacturers plants, so while they can give great tours for FDA regulators coming in during visits agreed to well in advance, we know that day to day operations can be rife with problems away from the presence of watchful eyes of FDA regulators. And that’s how we get these not infrequent FDA recalls.
Let’s face it, ordering from India you are taking a chance, period. And that’s with the big established pharmas who export internationally including the USA - these are the only ones I order personally. I wouldn’t even dream of buying a med brand made by some small, new, domestic-only Indian obscure manufacturer. I’m still playing the lottery, but trying not to go for a Russian roulette type odds. YMMV.