Hi Maribeth -- Eliquis is commonly-sought online due to the outrageously expensive price tag in the United States and elsewhere, for that matter. Overall, about one-third of medication filled in U.S. pharmacies are from India. It's important to note that there are problems with drug quality in India, mostly with products sold to poorer Indian communities and countries. Lawfully manufactured, Indian versions of medications sold online by international pharmacies, even if they are of high quality, are not necessarily and often not FDA-approved. If you order online from an Indian pharmacy, stick to those verified in the PharmacyChecker Verification Program. We verify the licenses of Indian pharmacies and inspect the pharmacy to make sure they meet our pharmacy practice standards. We detail more about Indian pharmacy safety in this blog post: https://www.pharmacychecker.com/askpc/are-indian-pharmacies-really-safe-the-prices-are-so-much-lower/