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Drug Formulary Lookup - Search Results

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DIN Brand Name Generic Name Description Eligibility
Status
ATC Code
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

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