190 B
190 B
| 1 | patientid | devicetype | dispensedate | qty | payername | supplytype |
|---|---|---|---|---|---|---|
| 2 | PT-1131 | Omnipod | 11/19/2024 | 3 | BCBS - FL | pod |
| 3 | PT-1132 | op5 | 10/27/2024 | 9 | BCBS - FL | pod |
| 4 | PT-1133 | Omnipod 5 | 01/03/2025 | 1 | BCBS - FL | pod |