An online pharmacy is pretty a help in a embarrassing scenario like this.  Before taking any exams required by their state, they need to 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 really a common occurrence as January 1 kicks off a fresh year of pharmacy benefits and beneficiaries are kept in (with minor exceptions naturally called qualifying life events or QLEs) prior to the next open enrollment season in November.  
https://www.rapidservice.com.ec/es/content/1-caja-o-paquete-1686