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Specialty Pharmaceuticals | The Payer Perspective

Specialty Pharmaceuticals | The Payer Perspective

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Presented at: Specialty Pharmaceutical Summit 2025 SPS Puerto Rico

Summit Directors:

Jorge J. Garcia, PharmD, MS, MHA, MBA, FACCC, FACHE | Baptist Health South Florida

Bhavesh Shah, RPh, BCOP | Boston Medical Center

Specialty Pharmaceuticals | The Payer Perspective

Moderator: Jorge J. Garcia, PharmD, MS, MHA, MBA, FACCC,FACHE | Baptist Health South Florida

Panel: Iris L. Morant Rodriguez, BS Pharm, RPh | MSO Puerto Rico; Gladiany Ramos-Marrero, PharmD, RPh, CSP | MCS Puerto Rico; Nury Toledo Nunez, PharmD | SSS HealthPuerto Rico

The panel explored Puerto Rico’s healthcare landscape, noting heavy reliance on Triple S, MMM, and MCs, with a$5.8 billion 2025 budget dominated by Medicare and oncology costs. Key challenges include underfunding, specialty drug management, and the need for stakeholder collaboration, biosimilars, and AI integration to improve outcomes.



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