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Mergers and Acquisitions - Purchase Price Allocation (Details) - USD ($)
$ in Millions
Dec. 31, 2018
Dec. 20, 2018
Dec. 31, 2017
Dec. 31, 2016
Purchase price allocation [Abstract]        
Goodwill $ 44,505   $ 6,164 $ 5,980
Health Services [Member]        
Purchase price allocation [Abstract]        
Goodwill $ 33,700 $ 33,700    
Express Scripts Holding Company [Member] | Health Services [Member]        
Purchase price allocation [Abstract]        
Cash and cash equivalents   3,517    
Receivables   7,802    
Inventory   2,483    
Other current assets   600    
Property and equipment   2,973    
Goodwill   38,361    
Other identifiable intangible assets   38,725    
Other assets acquired, non-current   314    
Total assets acquired   94,775    
Other current liabilities   18,616    
Long-term debt, including current portion   12,816    
Deferred income tax liabilities   9,511    
Other liabilities, non-current assumed   1,022    
Total liabilities acquired   41,965    
Total   $ 52,810