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Regulators also found that, in some cases, Navitus did not pay West Virginia pharmacies a price equal to at least the national average drug acquisition cost of a drug.

The DOL, not Congress, will likely be where most of the action is, Washington watchers say.

"The Trump administration is putting patients first by increasing transparency, lowering costs and expanding access through TrumpRx," HHS Secretary Robert F. Kennedy Jr. said.

Looking ahead to this year, CFO Mike Hart expects revenues to range between $76.5 billion and $80 billion.

Michael Sarge Pollock has introduced bills in Kentucky related to issues such as the mechanics of insurance plan payments and finances.

About 85% of its own employer health enrollees are now in self-insured plans.