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Segment Reporting - Retrospective Adjustment (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Segment Reporting Information [Line Items]        
Total revenues $ 63,431 $ 46,922 $ 125,077 $ 92,665
Cost of products sold 38,970 38,876 76,217 76,381
Benefit costs 13,087 631 26,546 1,960
Operating expenses 8,042 4,867 16,292 9,780
Operating income (loss) (GAAP measure) 3,332 (1,373) 6,022 623
Adjusted operating income (loss) 4,031 2,599 7,626 4,892
Operating Segments | Pharmacy Services Segment        
Segment Reporting Information [Line Items]        
Total revenues 34,842 33,427 68,400 65,973
Cost of products sold   31,973   63,280
Benefit costs   0   0
Operating expenses   362   700
Operating income (loss) (GAAP measure)   1,092   1,993
Adjusted operating income (loss) 1,296 1,181 2,243 2,168
Operating Segments | Retail Long-Term Care Segment        
Segment Reporting Information [Line Items]        
Total revenues 21,447 20,672 42,562 41,104
Cost of products sold   14,760   29,276
Benefit costs   0   0
Operating expenses   4,216   8,508
Operating income (loss) (GAAP measure)   (2,225)   (601)
Adjusted operating income (loss) 1,669 1,821 3,158 3,657
Operating Segments | Health Care Benefits Segment        
Segment Reporting Information [Line Items]        
Total revenues 17,403 764 35,273 2,082
Cost of products sold   0   0
Benefit costs   631   1,960
Operating expenses   133   260
Operating income (loss) (GAAP measure)   0   (138)
Adjusted operating income (loss) 1,438 0 3,000 (137)
Operating Segments | Corporate / Other        
Segment Reporting Information [Line Items]        
Total revenues 161 210 271 258
Cost of products sold   0   0
Benefit costs   0   0
Operating expenses   263   527
Operating income (loss) (GAAP measure)   (53)   (269)
Adjusted operating income (loss) (202) (216) (433) (434)
Intersegment Eliminations        
Segment Reporting Information [Line Items]        
Total revenues (10,422) (8,151) (21,429) (16,752)
Cost of products sold   (7,857)   (16,175)
Benefit costs   0   0
Operating expenses   (107)   (215)
Operating income (loss) (GAAP measure)   (187)   (362)
Adjusted operating income (loss) $ (170) (187) $ (342) (362)
Previously Reported        
Segment Reporting Information [Line Items]        
Total revenues   46,922   92,665
Cost of products sold   38,876   76,381
Benefit costs   631   1,960
Operating expenses   4,867   9,780
Operating income (loss) (GAAP measure)   (1,373)   623
Previously Reported | Operating Segments | Pharmacy Services Segment        
Segment Reporting Information [Line Items]        
Total revenues   33,251   65,471
Cost of products sold   31,121   60,872
Benefit costs   631   1,960
Operating expenses   407   784
Operating income (loss) (GAAP measure)   1,092   1,855
Previously Reported | Operating Segments | Retail Long-Term Care Segment        
Segment Reporting Information [Line Items]        
Total revenues   20,672   41,104
Cost of products sold   14,760   29,276
Benefit costs   0   0
Operating expenses   4,216   8,508
Operating income (loss) (GAAP measure)   (2,225)   (601)
Previously Reported | Operating Segments | Health Care Benefits Segment        
Segment Reporting Information [Line Items]        
Total revenues   0   0
Cost of products sold   0   0
Benefit costs   0   0
Operating expenses   0   0
Operating income (loss) (GAAP measure)   0   0
Previously Reported | Operating Segments | Corporate / Other        
Segment Reporting Information [Line Items]        
Total revenues   210   258
Cost of products sold   0   0
Benefit costs   0   0
Operating expenses   263   527
Operating income (loss) (GAAP measure)   (53)   (269)
Previously Reported | Intersegment Eliminations        
Segment Reporting Information [Line Items]        
Total revenues   (7,211)   (14,168)
Cost of products sold   (7,005)   (13,767)
Benefit costs   0   0
Operating expenses   (19)   (39)
Operating income (loss) (GAAP measure)   (187)   (362)
Restatement Adjustment        
Segment Reporting Information [Line Items]        
Total revenues   0   0
Cost of products sold   0   0
Benefit costs   0   0
Operating expenses   0   0
Operating income (loss) (GAAP measure)   0   0
Adjusted operating income (loss)   3,972   4,269
Restatement Adjustment | Operating Segments | Pharmacy Services Segment        
Segment Reporting Information [Line Items]        
Total revenues   176   502
Cost of products sold   852   2,408
Benefit costs   (631)   (1,960)
Operating expenses   (45)   (84)
Operating income (loss) (GAAP measure)   0   138
Adjusted operating income (loss)   89   175
Restatement Adjustment | Operating Segments | Retail Long-Term Care Segment        
Segment Reporting Information [Line Items]        
Total revenues   0   0
Cost of products sold   0   0
Benefit costs   0   0
Operating expenses   0   0
Operating income (loss) (GAAP measure)   0   0
Adjusted operating income (loss)   4,046   4,258
Restatement Adjustment | Operating Segments | Health Care Benefits Segment        
Segment Reporting Information [Line Items]        
Total revenues   764   2,082
Cost of products sold   0   0
Benefit costs   631   1,960
Operating expenses   133   260
Operating income (loss) (GAAP measure)   0   (138)
Adjusted operating income (loss)   0   1
Restatement Adjustment | Operating Segments | Corporate / Other        
Segment Reporting Information [Line Items]        
Total revenues   0   0
Cost of products sold   0   0
Benefit costs   0   0
Operating expenses   0   0
Operating income (loss) (GAAP measure)   0   0
Adjusted operating income (loss)   (163)   (165)
Restatement Adjustment | Intersegment Eliminations        
Segment Reporting Information [Line Items]        
Total revenues   (940)   (2,584)
Cost of products sold   (852)   (2,408)
Benefit costs   0   0
Operating expenses   (88)   (176)
Operating income (loss) (GAAP measure)   0   0
Adjusted operating income (loss)   $ 0   $ 0