Jan. 25, 2024

On Jan. 1, 2024, Publix joined the Specialty Medical Benefit Management (SMBM) program to manage specialty medications for its members.

Specialty medications are often covered under the medical benefit. Medications can be costly and may not be covered the same for each member. It is important to determine whether the use of these medications meet coverage criteria before a specialty drug is provided.

The SMBM program also includes requirements for self-administered drugs and site-of-care requirements. These factors could impact coverage.

Additional information on the program, including the available drug lists, is on www.SouthCarolinaBlues.com. We encourage you to not print the drug lists as they are reviewed and updated regularly.

If you have any questions, or need additional assistance, please contact the Provider Services number on the back of the member’s identification card.