447 B
447 B
| 1 | acct_no | product | fill date | units | insurance name | type | Branch Code |
|---|---|---|---|---|---|---|---|
| 2 | PT-1211 | Omnipod 5 | 2024-12-29 | 6 | Medicare | pod | GA-02 |
| 3 | PT-1212 | op5 | 2024-10-31 | 1 | Medicare | pod | GA-02 |
| 4 | PT-1213 | Omnipod 5 | 2024-12-13 | 6 | Medicare | pod | GA-02 |
| 5 | PT-1214 | op5 | 2024-10-25 | 9 | Medicare | pod | GA-02 |
| 6 | PT-1215 | OmniPod 5 | 2024-12-16 | 6 | Medicare | pod | GA-02 |
| 7 | PT-1216 | op5 | 2024-12-25 | 9 | Medicare | pod | GA-02 |
| 8 | PT-1217 | op5 | 2024-11-29 | 6 | Medicare | pod | GA-02 |
| 9 | PT-1218 | Omnipod | 2024-11-10 | 3 | Medicare | pod | GA-02 |