If Serge Perras , MBA, doesn’t exactly pour cold water on artificial intelligence (AI), he certainly advises letting cooler, calculating heads prevail when applying it to prior authorization and perhaps other processes in pharmacy.

“I’m not trying to be a naysayer here whatsoever,” Perras told the audience at the 2025 Pharmacy Benefit Management Institute (PBMI) Annual National Conference in Orlando, Florida, last week. “I am actually a big, firm believer that we are still in the growing pains in the emerging space of AI. This will get solved. It’s just not there right now, so be cautious as you go down that road.”

Perras, the chief information officer for Abarca Health, a pharmacy benefit manager based in Puerto Rico, spoke about some of the success Abarca has had in applying AI to me

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