The answering services company company later changed its name to e – Telecare Global Soltions in 2004. Before taking any exams required by their state, they need to pass the Foreign Pharmacy Graduate Equivalency examination (FPGEE), Test of English as a Foreign Language (TOEFL) and Test of Spoken English (TSE) exams. This is often a common occurrence as January 1 kicks off a fresh year of pharmacy benefits and beneficiaries are stuck (with minor exceptions needless to say called qualifying life events or QLEs) before next open enrollment season in November.