Pharma and biotech companies have had a spectrum of responses to the surge in generative artificial intelligence (AI). A recent Washington Post article describes an unnamed biotech firm that banned employees from using OpenAI’s ChatGPT despite its capability to bolster productivity given concerns over potential data leaks. At the same time, the burgeoning AI landscape have created a fear of missing out, or FOMO, among businesses, including the pharma sector. “There’s this fear of missing out that I think is driving everybody to do something,” said Scott Snyder, chief digital officer at Eversana. On a tightrope of fear and FOMO, the pharmaceutical industry’s journey with generative AI continues with some companies taking more of a wait-and-see approach and others forging ahead with the technology to, for instance, discovery novel compounds.