The call center company later changed its name to e – Telecare Global Soltions in 2004. Before taking any exams necessary for their state, they need to pass the Foreign Pharmacy Graduate Equivalency examination (FPGEE), Test of English 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 located in (with minor exceptions naturally called qualifying life events or QLEs) until the next open enrollment season in November.