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

Most of the employers implementing paid family leave and paid parental leave see an improvement on attraction and retention.

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