Presentation Objectives: 1. Discuss the landscape shifts in cancer treatment and in healthcare. Identify how these shifts impact cancer care for the patient. 2. Define “Financial Toxicity” and discuss its impact on patient care. 3. Understand the process of insurance approval and how to navigate through the various steps. 4. Understand how to access advocacy groups on behalf of the patient. 5. Discuss medication adherence and the collective role of the healthcare team including the specialty pharmacist