PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga .. Part D Drugs, or OTC items that are covered by Medicaid. 1 . QL (120 tabs / 30 days) diclofenac sodium tab delayed release. 25 mg ezfe 200 cap 200mg. $0 (3). NM; * fe c tab. $0 (3). NM; * fer-iron dro 15mg/ml tussin adult liq...