An online pharmacy is fairly a help within an embarrassing scenario like this. Before taking any exams required by their state, they have 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 a common occurrence as January 1 kicks off a whole new year of pharmacy benefits and beneficiaries are stuck (with minor exceptions of course called qualifying life events or QLEs) prior to the next open enrollment season in November.