Most physiologists required a Ph - D degree and licensing. 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 often a common occurrence as January 1 kicks off a whole new year of pharmacy benefits and beneficiaries are locked in (with minor exceptions of course called qualifying life events or QLEs) until the next open enrollment season in November.