An online pharmacy is fairly a help within an embarrassing scenario like this.  Before taking any exams necessary for their state, they must pass the Foreign Pharmacy Graduate Equivalency examination (FPGEE), Test of English like a Foreign Language (TOEFL) and Test of Spoken English (TSE) exams.  This is often a common occurrence as January 1 kicks off a brand new year of pharmacy benefits and beneficiaries are located in (with minor exceptions needless to say called qualifying life events or QLEs) until the next open enrollment season in November.  
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