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Drug Formulary Lookup - Search Results

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Showing results 1 to 13 of 13: Results per page: 
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DIN Brand Name Generic Name Description Eligibility
Status		 ATC Code
02271605  TEVA-DILTIAZEM ER DILTIAZEM HCL 120MG  ERC Part 1 Benefit C08DB01
02271613  TEVA-DILTIAZEM ER DILTIAZEM HCL 180MG  ERC Part 1 Benefit C08DB01
02271621  TEVA-DILTIAZEM ER DILTIAZEM HCL 240MG  ERC Part 1 Benefit C08DB01
02271648  TEVA-DILTIAZEM ER DILTIAZEM HCL 300MG  ERC Part 1 Benefit C08DB01
02271656  TEVA-DILTIAZEM ER DILTIAZEM HCL 360MG  ERC Part 1 Benefit C08DB01
02370441  TEVA-DILTIAZEM T DILTIAZEM HYDROCHLORIDE 120MG  CAP Part 1 Benefit C08DB01
02370492  TEVA-DILTIAZEM T DILTIAZEM HYDROCHLORIDE 180MG  CAP Part 1 Benefit C08DB01
02370506  TEVA-DILTIAZEM T DILTIAZEM HYDROCHLORIDE 240MG  CAP Part 1 Benefit C08DB01
02370522  TEVA-DILTIAZEM T DILTIAZEM HYDROCHLORIDE 360MG  CAP Part 1 Benefit C08DB01
02429322  TEVA-DILTIAZEM XC DILTIAZEM HCL 180MG  ERT Part 1 Benefit C08DB01
02429357  TEVA-DILTIAZEM XC DILTIAZEM HCL 360MG  ERT Part 1 Benefit C08DB01
02429330  TEVA-DILTIAZEM XC DILTIAZEM XC 240MG  ERT Part 1 Benefit C08DB01
02429349  TEVA-DILTIAZEM XC DILTIAZEM XC 300MG  ERT Part 1 Benefit C08DB01

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