That report is a perfect example of why people don't trust economists. It is about intellectual property, not drugs. As far as I can tell, it defines these transactions to be "counterfeit" because they violate patents, regardless of the content.

As Username says, this is an irrelevant statistic, even if true. The relevant claim from the report is that no third world country has less than 10% counterfeiting (compared to 1% in the US), though India is not specifically identified. Another relevant claim from WHO, that most illegal internet pharmacies that conceal their physical location are fraudulent, though this is a quasi-legal pharmacy that does not conceal its address (nor does nubrain).

I think most people using modafinil on LW are already using Indian brands. I have heard anecdotes of these brands are being counterfeited and I consider these much more relevant and reliable than these reports. Choosing to use Indian brands may be an error. But given that choice, I expect people shipping from India to be less likely to use counterfeit drugs than those shipping Indian brands from inside the US, since the difficult part of illegal drug distribution is usually crossing the border.

So be cautious. But don't use generalized evidence when you have specifics. I personally trust this specific site because of the testimonials of some long-standing reddit users who have ordered it. You should decide on your own if that's good enough for you.

Also note that 75% of fake drugs originate in India, not that 75% of drugs from India are fake.

Edit: It came in a while ago and I've used it a few times. Works for me.

The redditor contacted me for advice before officially announcing it and in turn sent me 50 or so Modalert; the packaging was right, and it seemed to work for me. She seems legit... for now.