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Segments of Business - Reportable operating segment (Details)
$ in Millions
1 Months Ended 3 Months Ended 9 Months Ended
Oct. 31, 2022
USD ($)
Jul. 31, 2022
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2022
USD ($)
segment
Dec. 31, 2021
USD ($)
Segment revenues            
Total revenues     $ 70,490 $ 68,614 $ 207,801 $ 197,864
Segment operating profit (loss)            
Total operating profit (loss)     1,241 298 3,401 1,405
Corporate income (expenses), net     67 (195) 49 (858)
Interest expense     (69) (41) (169) (135)
Income from continuing operations before income taxes     1,448 277 $ 3,698 1,281
Number of reportable segments | segment         4  
Gain from sale of equity method investment         $ 142  
Proceeds from sale of equity securities   $ 179        
Pre-tax credits related to LIFO accounting         (31) (79)
Company's shares of legal settlements     129     46
Loss (gain) to remeasure disposal group to fair value         0 1,271
Gains on termination of fixed interest rate swaps     97   97  
Restructuring, impairment, and related charges     31 18 84 208
Gains associated with equity investments         24 (104)
Loss on debt extinguishment     0 0 0 191
Tax Receivable Agreement (“TRA”)            
Segment operating profit (loss)            
Gain on early contract termination     $ 126   $ 126  
Percentage of net cash tax savings realized or deemed realized under TRA (percent)     85.00%   85.00%  
United States            
Segment operating profit (loss)            
Number of reportable segments | segment         3  
Held-for-sale | E.U. Businesses (Disposal Group)            
Segment operating profit (loss)            
Loss (gain) to remeasure disposal group to fair value       879   1,400
Disposed of by sale | E.U. Businesses (Disposal Group)            
Segment operating profit (loss)            
Loss (gain) to remeasure disposal group to fair value     $ (31) 26 $ (66) 517
Disposed of by sale | U.K. Disposal Group (Disposal Group)            
Segment operating profit (loss)            
Loss (gain) to remeasure disposal group to fair value     823   823  
Operating Segments            
Segment operating profit (loss)            
Total operating profit (loss)     1,450 513 3,818 2,465
Corporate            
Segment operating profit (loss)            
Restructuring, impairment, and related charges     19 9 38 90
Corporate | National Prescription Opioid Litigation            
Segment operating profit (loss)            
Pre-tax expenses related to estimated litigation liability           193
Corporate | Held-for-sale | E.U. Businesses (Disposal Group)            
Segment operating profit (loss)            
Loss (gain) to remeasure disposal group to fair value     (34) (32) (306) 117
National Prescription Opioid Litigation | Corporate            
Segment operating profit (loss)            
Litigation expense     9 33 37 104
U.S. Pharmaceutical            
Segment revenues            
Total revenues     61,934 55,041 178,940 158,471
U.S. Pharmaceutical | Operating Segments            
Segment operating profit (loss)            
Total operating profit (loss)     850 744 $ 2,442 2,186
Revenue derived from services, percentage (less than)         1.00%  
Pre-tax credits related to LIFO accounting     5 (33) $ (31) (79)
Company's shares of legal settlements $ 129          
Restructuring, impairment, and related charges     2 3 9 25
Prescription Technology Solutions            
Segment revenues            
Total revenues     1,121 1,031 3,205 2,844
Prescription Technology Solutions | Operating Segments            
Segment operating profit (loss)            
Total operating profit (loss)     136 129 $ 400 361
Revenue derived from services, percentage (less than)         36.00%  
Restructuring, impairment, and related charges     1 0 $ 15 18
Medical-Surgical Solutions            
Segment revenues            
Total revenues     2,986 3,082 8,421 8,734
Medical-Surgical Solutions | Operating Segments            
Segment operating profit (loss)            
Total operating profit (loss)     328 308 $ 883 679
Revenue derived from services, percentage (less than)         3.00%  
Inventory charges           164
Restructuring, impairment, and related charges     1 1 $ 3 9
International            
Segment revenues            
Total revenues     4,449 9,460 17,235 27,815
International | Operating Segments            
Segment operating profit (loss)            
Total operating profit (loss)     136 (668) $ 93 (761)
Revenue derived from services, percentage (less than)         8.00%  
Restructuring, impairment, and related charges     8 5 $ 19 66
International | Operating Segments | Held-for-sale | E.U. Businesses (Disposal Group)            
Segment operating profit (loss)            
Loss (gain) to remeasure disposal group to fair value     $ 3 58 $ 240 400
International | Operating Segments | Disposed of by sale | Canadian Health Benefit Claims Management and Plan Administrative Services Business            
Segment operating profit (loss)            
Pre-tax gain on sale of business           59
International | Operating Segments | Disposed of by sale | U.K. Disposal Group (Disposal Group)            
Segment operating profit (loss)            
Loss (gain) to remeasure disposal group to fair value       $ 787   $ 787