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Drug Formulary Lookup - Search Results

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DIN Brand Name Generic Name Description Eligibility
Status		 ATC Code
00771376  AA-DILTIAZ DILTIAZEM HCL 30MG  TAB Part 1 Benefit C08DB01
00771384  AA-DILTIAZ DILTIAZEM HCL 60MG  TAB Part 1 Benefit C08DB01
02229526  APO-DILTIAZ CD DILTIAZEM HCL 300MG  CAP Part 1 Benefit C08DB01
02230997  APO-DILTIAZ CD DILTIAZEM HCL 120MG  CDC Part 1 Benefit C08DB01
02230998  APO-DILTIAZ CD DILTIAZEM HCL 180MG  CDC Part 1 Benefit C08DB01
02230999  APO-DILTIAZ CD DILTIAZEM HCL 240MG  CDC Part 1 Benefit C08DB01
02516101  DILTIAZEM T DILTIAZEM HCL 120MG  ERC Part 1 Benefit C08DB01
02516128  DILTIAZEM T DILTIAZEM HCL 180MG  ERC Part 1 Benefit C08DB01
02516136  DILTIAZEM T DILTIAZEM HCL 240MG  ERC Part 1 Benefit C08DB01
02516144  DILTIAZEM T DILTIAZEM HCL 300MG  ERC Part 1 Benefit C08DB01
02516152  DILTIAZEM T DILTIAZEM HCL 360MG  ERC Part 1 Benefit C08DB01
02231743  GEN-DILTIAZEM SR DILTIAZEM HCL 60MG  SR-CAP Part 1 Benefit C08DB01
02528037  JAMP DILTIAZEM CD DILTIAZEM HCL 120MG  CDC Part 1 Benefit C08DB01
02528045  JAMP DILTIAZEM CD DILTIAZEM HCL 180MG  CDC Part 1 Benefit C08DB01
02528053  JAMP DILTIAZEM CD DILTIAZEM HCL 240MG  CDC Part 1 Benefit C08DB01
02528061  JAMP DILTIAZEM CD DILTIAZEM HCL 300MG  CDC Part 1 Benefit C08DB01
02495376  JAMP DILTIAZEM T DILTIAZEM HCL 120MG  ERC Part 1 Benefit C08DB01
02495384  JAMP DILTIAZEM T DILTIAZEM HCL 180MG  ERC Part 1 Benefit C08DB01
02495392  JAMP DILTIAZEM T DILTIAZEM HCL 240MG  ERC Part 1 Benefit C08DB01
02495406  JAMP DILTIAZEM T DILTIAZEM HCL 300MG  ERC Part 1 Benefit C08DB01
02495414  JAMP DILTIAZEM T DILTIAZEM HCL 360MG  ERC Part 1 Benefit C08DB01
02242538  TEVA-DILTAZEM CD DILTIAZEM HCL 120MG  CDC Part 1 Benefit C08DB01
02242539  TEVA-DILTAZEM CD DILTIAZEM HCL 180MG  CDC Part 1 Benefit C08DB01
02242540  TEVA-DILTAZEM CD DILTIAZEM HCL 240MG  CDC Part 1 Benefit C08DB01
02242541  TEVA-DILTAZEM CD DILTIAZEM HCL 300MG  CDC Part 1 Benefit C08DB01

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Data Last Updated: 4/2/2026 6:00:07 AM