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Notes from inside the build.

What I am seeing in pharma, AI, and the work of building things people actually use.

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Featured· AI

Your Pharma Is Losing 21 Days on Every Cross-Functional Decision. Here Is How to Stop It.

Every cross-functional decision inside your pharma is routing through five to twelve stakeholders, and the math on that cascade adds twenty-one days to your timeline before anyone has actually disagreed

June 8, 2026 · 4 min read

AllAIBusinessPharma
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Business, Pharma, AI

Channel-Agnostic Loyalty: Why the Retail Pharmacy Owns Your Customer, Not You

Your brand sells through retail. The retailer owns the customer data. Private label is at record share. Here is the channel-agnostic loyalty platform that closes the gap.

Jun 14 · 3 min read

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Pharma, Business

Speaker Programs Are Quietly Dying

Speaker programs have been the backbone of pharma HCP engagement for thirty years. They are now collapsing under three converging pressures at once.

May 27 · 3 min read

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Pharma, AI, Business

Pharma Boards Are Approving AI They Don't Understand

Pharma boards are signing off on billion-dollar AI commitments while two-thirds of directors admit they have limited or no AI knowledge.

May 25 · 3 min read

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Pharma, Business, AI

What the EU AI Act Means for Pharma

Most of the AI a pharma company is currently building lands in the high-risk tier of the EU AI Act by default.

May 24 · 3 min read

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Pharma, Business

The 2030 Patent Cliff: $400 Billion in Branded Pharma Revenue at Risk

Between 2025 and 2030, somewhere between 200 and 400 billion dollars in branded pharmaceutical revenue will lose patent protection. Keytruda, Stelara, Eliquis, Eylea, Ozempic by 2032.

May 22 · 3 min read

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Pharma, Business

Lilly Hit $1 Trillion. What That Means for the Next Decade of Pharma

On November 21, 2025, Eli Lilly became the first pharmaceutical company in history to cross a one trillion dollar market capitalization. The lesson is what pharma boards must internalize about the next decade of value

May 21 · 3 min read

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Pharma, Business

The Pharmacist Pharma Forgot

Community pharmacists are the most accessed healthcare professional in most markets, the most trusted on medication decisions, and the most under-engaged stakeholder in pharma's commercial strategy.

May 19 · 3 min read

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Pharma, Business

The MSL Productivity Paradox: 70% Admin, 30% Science

Medical Science Liaisons spend 70% of their time on admin. Of the 30% they spend on science, half is rework. Here is the data and the structural cause.

May 7 · 3 min read

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AI, Business, Pharma

How to Brief an AI Agent Like a Senior Partner: A Pharma Operator's Framework

Most pharma teams brief AI agents like search engines. The teams getting results brief them like senior associates. Here is the framework that changes the output.

May 6 · 3 min read

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Pharma, Business

The Field Force Reckoning: Why Pharma Is Cutting 50% of Its Reps by 2028

Pfizer cut 7,500 reps in 2024. Bayer announced 1,500 in early 2026. Sanofi cut 800 in March. The era of the 600-rep field force is ending. Here is what is replacing it.

May 5 · 3 min read

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Pharma, Business

The Patient Your Pharma Forecast Forgot

Pharma forecasts are built in three stages by three different teams. The third arrives too late to change anything. Here is why and what to fix.

Apr 15 · 3 min read

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Pharma, Business

Why 66% of Drug Launches Miss Their Forecast in 2026

Two thirds of pharma drug launches miss first year sales targets. The real reason is not the molecule. It is the commercial system around it.

Mar 25 · 3 min read

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