Here's a macro. There's some issues :) The biggest one is you have to make sure to put the multiple divisors list first.
The call is
(fizzbuzz (100 (((3 5) "fizzbuzz")(3 "fizz")(5 "buzz"))))
(defun make-cond (item)
(let ((divisors (first item))
(exclamation (second item)))
(if (listp divisors)
(let ((div1 (first divisors))
(div2 (second divisors)))
`((and (= 0 (mod n ,div1)) (= 0 (mod n ,div2)))
(format t "~a: ~a~%" n ,exclamation)))
`((= 0 (mod n ,divisors)) ;else
(format t "~a: ~a~%" n ,exclamation)))))
(defmacro fizzbuzz (params-list)
(destructuring-bind (num-to req-list) params-list
(let ((cond-list '(((= 0 n)))))
(loop for item in req-list do
(push (make-cond item) cond-list))
`(dotimes (n ,num-to)
(cond ,@(reverse
(push '(t (format t "~a~%" n))
cond-list)))))))