I put a Spicer 5831B brownie in my '65 F-350 (caution: not an IDI)

because it was the only suitable one I found at a reasonable price. Trans is an NP435 with 6.67, 3.34, 1.66 and direct. The brownie has 2.35, direct, 0.85 gears and the rear is the stock 4.88 dually with 235/85-16 tires.
In 4th direct, 60 mph is 3000 rpm. With the OD engaged that drops to about 2500 which is much more doable for highway use. The gear splits aren't even but you learn them pretty quick. There are other 5831 gearsets - the 0.73 OD would be desirable but it doesn't have the super-low underdrive.
The 2.35 UD is primarily useful when backing up, or going slow on rough ground. Reverse is the lowest NP435 gear at a deep 8.2, so you can really crawl at an idle with the clutch engaged in UD.
That particular auxiliary trans is not synchronized, but it isn't hard to shift once you know what the revs should be, and double-clutch the downshifts. With a really heavy load in the flatbed, it's more work driving with both sticks, but the huge splits in the NP435 (2:1 except for 3rd-4th) make it hard to get up to speed on any kind of rolling road without splitting some gears.
Another possibility is the old Advance Adapters "Ranger Two-Speed" (either OD or UD but not both). But that goes between the bellhousing and the transmission, and moves everything back seven inches. Not sure if there is one to fit an IDI or not.
Most end up with a Gear Vendors behind the trans, but you're looking at $3K or more...