340 B
340 B
| 1 | patientid | devicetype | dispensedate | qty | payername | supplytype |
|---|---|---|---|---|---|---|
| 2 | PT-1131 | Omnipod 5 | 05/04/2026 | 9 | UHC | pod |
| 3 | PT-1132 | Omnipod 5 | 05/02/2026 | 2 | UHC | pod |
| 4 | PT-1133 | Omnipod 5 | 04/27/2026 | 9 | UHC | pod |
| 5 | PT-1134 | OmniPod 5 | 04/28/2026 | 9 | UHC | pod |
| 6 | PT-1135 | OmniPod 5 | 05/01/2026 | 2 | UHC | pod |
| 7 | PT-1136 | OmniPod 5 | 05/05/2026 | 9 | UHC | pod |
| 8 | PT-1137 | Omnipod 5 | 04/30/2026 | 1 | UHC | pod |