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Significant Accounting Policies (Tables)
 9 Months Ended
Sep. 30, 2024
Accounting Policies [Abstract]  
Schedule of reconciliation of cash and cash equivalents
The following is a reconciliation of cash and cash equivalents on the unaudited condensed consolidated balance sheets to total cash, cash equivalents and restricted cash on the unaudited condensed consolidated statements of cash flows:
In millionsSeptember 30,
2024		December 31,
2023
Cash and cash equivalents$6,875 $8,196 
Restricted cash (included in other current assets)65 90 
Restricted cash (included in other assets)200 239 
Total cash, cash equivalents and restricted cash in the statements of cash flows$7,140 $8,525 
Schedule of accounts receivable, net Accounts receivable, net at September 30, 2024 and December 31, 2023 was composed of the following:
In millionsSeptember 30,
2024		December 31,
2023
Trade receivables$9,884 $11,908 
Vendor and manufacturer receivables15,621 15,711 
Premium receivables3,942 3,714 
Other receivables6,732 3,894 
   Total accounts receivable, net$36,179 $35,227 
Roll forward of deferred acquisition costs
The following is a roll forward of deferred acquisition costs for the nine months ended September 30, 2024 and 2023:
Nine Months Ended
September 30,
In millions20242023
Deferred acquisition costs, beginning of the period$1,502$1,219
Capitalizations405414
Amortization expense(217)(196)
Deferred acquisition costs, end of the period$1,690$1,437
Schedule of disaggregation of revenue
The following tables disaggregate the Company’s revenue by major source in each segment for the three and nine months ended September 30, 2024 and 2023:
In millionsHealth Care
Benefits		Health
Services		Pharmacy &
Consumer
Wellness 		Corporate/
Other		Intersegment
Eliminations		Consolidated
Totals
Three Months Ended September 30, 2024
Major goods/services lines:
Pharmacy$— $41,350 $26,666 $— $(13,357)$54,659 
Front Store— — 5,196 — — 5,196 
Premiums30,914 — — 11 — 30,925 
Net investment income (loss)423 (1)— 128 — 550 
Other1,659 2,780 561 3 (905)4,098 
Total$32,996 $44,129 $32,423 $142 $(14,262)$95,428 
Health Services distribution channel:
Pharmacy network (1)
$24,136 
Mail & specialty (2)
17,214 
Other2,780 
Net investment income (loss)(1)
Total$44,129 
Three Months Ended September 30, 2023
Major goods/services lines:
Pharmacy$— $44,985 $22,977 $— $(11,764)$56,198 
Front Store— — 5,371 — — 5,371 
Premiums24,645 — — 12 — 24,657 
Net investment income (loss)187 — (2)92 — 277 
Other1,464 1,906 526 1 (636)3,261 
Total$26,296 $46,891 $28,872 $105 $(12,400)$89,764 
Health Services distribution channel:
Pharmacy network (1)
$27,981 
Mail & specialty (2)
17,004 
Other1,906 
Total$46,891 
In millionsHealth Care
Benefits		Health
Services		Pharmacy &
Consumer
Wellness 		Corporate/
Other		Intersegment
Eliminations		Consolidated
Totals
Nine Months Ended September 30, 2024
Major goods/services lines:
Pharmacy$— $118,575 $73,463 $— $(38,002)$154,036 
Front Store— — 15,847 — — 15,847 
Premiums91,947 — — 36 — 91,983 
Net investment income (loss)1,076 (3)— 325 — 1,398 
Other4,684 8,013 1,676 7 (2,545)11,835 
Total$97,707 $126,585 $90,986 $368 $(40,547)$275,099 
Health Services distribution channel:
Pharmacy network (1)
$66,448 
Mail & specialty (2)
52,127 
Other8,013 
Net investment income (loss)(3)
Total$126,585 
Nine Months Ended September 30, 2023
Major goods/services lines:
Pharmacy$— $133,428 $67,371 $— $(36,754)$164,045 
Front Store— — 16,597 — — 16,597 
Premiums74,079 — — 38 — 74,117 
Net investment income (loss)556 — (4)333 — 885 
Other4,285 4,269 1,614 5 (1,854)8,319 
Total$78,920 $137,697 $85,578 $376 $(38,608)$263,963 
Health Services distribution channel:
Pharmacy network (1)
$83,050 
Mail & specialty (2)
50,378 
Other4,269 
Total$137,697 
_____________________________________________
(1)Health Services pharmacy network is defined as claims filled at retail and specialty retail pharmacies, including the Company’s retail pharmacies and LTC pharmacies, as well as activity associated with Maintenance Choice®, which permits eligible client plan members to fill their maintenance prescriptions through mail order delivery or at a CVS pharmacy retail store for the same price as mail order.
(2)Health Services mail & specialty is defined as specialty mail claims inclusive of Specialty Connect® claims picked up at a retail pharmacy, as well as mail order and specialty claims fulfilled by the Pharmacy & Consumer Wellness segment.
Schedule of receivables and contract liabilities from contracts with customers
The following table provides information about receivables and contract liabilities from contracts with customers:
In millionsSeptember 30,
2024		December 31,
2023
Trade receivables (included in accounts receivable, net)$9,884 $11,908 
Contract liabilities (included in accrued expenses)174 149