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Mergers, Acquisitions and Dispositions - Purchase Price Allocation (Details) - USD ($)
$ in Millions
Dec. 31, 2019
Dec. 31, 2018
Dec. 20, 2018
Dec. 31, 2017
Purchase price allocation [Abstract]        
Goodwill $ 44,602 $ 44,505   $ 6,164
Health Services [Member]        
Purchase price allocation [Abstract]        
Goodwill $ 33,700      
Express Scripts Holding Company [Member]        
Purchase price allocation [Abstract]        
Cash and cash equivalents     $ 3,517  
Receivables     7,832  
Inventory     2,472  
Other current assets     600  
Property and equipment     2,924  
Goodwill     38,364  
Other identifiable intangible assets     38,725  
Other assets acquired, non-current     314  
Total assets acquired     94,748  
Other current liabilities     18,479  
Long-term debt, including current portion     12,816  
Deferred income tax liabilities     9,558  
Other liabilities, non-current assumed     1,085  
Total liabilities acquired     41,938  
Total     52,810  
Express Scripts Holding Company [Member] | Health Services [Member]        
Purchase price allocation [Abstract]        
Goodwill     $ 33,700