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Condensed Consolidated Statements of Cash Flows - USD ($)
6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Cash flows from operating activities:    
Cash receipts from customers $ 87,977,000,000 $ 88,343,000,000
Cash paid for inventory and prescriptions dispensed by retail network pharmacies (72,500,000,000) (73,748,000,000)
Cash paid to other suppliers and employees (8,471,000,000) (7,000,000,000)
Interest received 194,000,000 10,000,000
Interest paid (560,000,000) (539,000,000)
Income taxes paid (1,351,000,000) (1,534,000,000)
Net cash provided by operating activities 5,289,000,000 5,532,000,000
Cash flows from investing activities:    
Purchases of property and equipment (912,000,000) (888,000,000)
Proceeds from sale of property and equipment and other assets 7,000,000 13,000,000
Acquisitions (net of cash acquired) and other investments (573,000,000) (275,000,000)
Purchase of available-for-sale investments (36,000,000)  
Maturity of available-for-sale investments 37,000,000 16,000,000
Proceeds from sale of subsidiary 725,000,000  
Net cash used in investing activities (752,000,000) (1,134,000,000)
Cash flows from financing activities:    
Decrease in short-term debt (1,276,000,000) (774,000,000)
Proceeds from issuance of long-term debt 39,376,000,000  
Repayments of long-term debt (1,000,000)  
Derivative settlements 446,000,000  
Repurchase of common stock   (3,961,000,000)
Dividends paid (1,018,000,000) (1,028,000,000)
Proceeds from exercise of stock options 130,000,000 189,000,000
Payments for taxes related to net share settlement of equity awards (37,000,000) (60,000,000)
Other   (1,000,000)
Net cash provided by (used in) financing activities 37,620,000,000 (5,635,000,000)
Net increase (decrease) in cash, cash equivalents and restricted cash 42,157,000,000 (1,237,000,000)
Cash, cash equivalents and restricted cash at the beginning of the period 1,900,000,000 3,520,000,000
Cash, cash equivalents and restricted cash at the end of the period 44,057,000,000 2,283,000,000
Reconciliation of net income (loss) to net cash provided by operating activities:    
Net income (loss) (1,565,000,000) 2,051,000,000
Adjustments required to reconcile net income (loss) to net cash provided by operating activities:    
Depreciation and amortization 1,291,000,000 1,242,000,000
Goodwill impairments 3,921,000,000 135,000,000
Stock-based compensation 110,000,000 108,000,000
Deferred income taxes and other noncash items 252,000,000 21,000,000
Change in operating assets and liabilities, net of effects from acquisitions:    
Accounts receivable, net (1,059,000,000) (114,000,000)
Inventories 369,000,000 492,000,000
Other current assets (45,000,000) (31,000,000)
Other assets (129,000,000) (38,000,000)
Accounts payable and claims and discounts payable 1,045,000,000 180,000,000
Accrued expenses 1,143,000,000 1,345,000,000
Other long-term liabilities (44,000,000) 141,000,000
Net cash provided by operating activities $ 5,289,000,000 $ 5,532,000,000