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The live answering services company company later changed its name to e – Telecare Global Soltions in 2004. Before taking any exams necessary for their state, they must pass the Foreign Pharmacy Graduate Equivalency examination (FPGEE), Test of English as being 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 obviously called qualifying life events or QLEs) prior to the next open enrollment season in November.