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Segments of Business - Schedule of Segment Information (Details)
$ in Millions
3 Months Ended 6 Months Ended
Sep. 30, 2025
USD ($)
segment
Sep. 30, 2024
USD ($)
Sep. 30, 2025
USD ($)
segment
Sep. 30, 2024
USD ($)
Segment revenues        
Total revenues $ 103,150 $ 93,651 $ 200,977 $ 172,934
Other segment expense, net        
Total other segment expense, net 101,474 92,795 198,008 170,816
Segment operating profit        
Subtotal 1,676 856 2,969 2,118
Interest expense (74) (78) (123) (153)
Income before income taxes 1,395 534 2,446 1,618
Segment depreciation and amortization        
Total segment depreciation and amortization 188 163 345 332
Segment expenditures for long-lived assets        
Total segment expenditures for long-lived assets $ 196 218 $ 385 385
Number of reportable segments | segment 4   4  
Provision for bad debts     $ 232 (169)
Canadian businesses held for sale     0 638
Restructuring charges $ 63 234 110 244
Severance and employee-related costs, net 9 149 13 148
Gain associated with equity investments   (15)   95
North American Pharmaceutical        
Segment expenditures for long-lived assets        
Provision for bad debts   (203) 189 (203)
North American Pharmaceutical | Held-for-sale | Canadian retail disposal group        
Segment expenditures for long-lived assets        
Canadian businesses held for sale   593   593
Operating Segments | North American Pharmaceutical        
Segment revenues        
Total revenues 86,481 80,018 169,210 146,366
Other segment expense, net        
Total other segment expense, net 85,629 79,671 167,764 145,317
Segment operating profit        
Subtotal 852 347 1,446 1,049
Segment depreciation and amortization        
Total segment depreciation and amortization 32 43 64 91
Segment expenditures for long-lived assets        
Total segment expenditures for long-lived assets $ 74 $ 66 $ 135 $ 96
Revenue derived from services (less than) (as a percent) 1.00% 1.00% 1.00% 1.00%
Net cash proceeds from settlements $ 0 $ 63 $ 8 $ 153
Restructuring charges 6 63 7 65
Severance and employee-related costs, net 4 1 4 1
Operating Segments | North American Pharmaceutical | National Prescription Opioid Litigation        
Segment expenditures for long-lived assets        
Pre-tax charges related to estimated litigation liability       57
Operating Segments | Oncology & Multispecialty        
Segment revenues        
Total revenues 12,044 9,157 22,702 17,938
Other segment expense, net        
Total other segment expense, net 11,712 8,957 22,158 17,590
Segment operating profit        
Subtotal 332 200 544 348
Segment depreciation and amortization        
Total segment depreciation and amortization 71 37 113 75
Segment expenditures for long-lived assets        
Total segment expenditures for long-lived assets $ 23 $ 19 $ 47 $ 37
Revenue derived from services (less than) (as a percent) 7.00% 7.00% 7.00% 7.00%
Gain from cost and equity method investments $ 51   $ 51  
Loss from equity method investments       $ 43
Operating Segments | Prescription Technology Solutions        
Segment revenues        
Total revenues 1,376 $ 1,265 2,810 2,506
Other segment expense, net        
Total other segment expense, net 1,132 1,060 2,313 2,098
Segment operating profit        
Subtotal 244 205 497 408
Segment depreciation and amortization        
Total segment depreciation and amortization 20 22 41 43
Segment expenditures for long-lived assets        
Total segment expenditures for long-lived assets $ 0 $ 3 $ 1 $ 7
Revenue derived from services (less than) (as a percent) 37.00% 37.00% 37.00% 37.00%
Restructuring charges $ 0 $ 1 $ 0 $ 5
Severance and employee-related costs, net 0 0 0 0
Operating Segments | Medical-Surgical Solutions        
Segment revenues        
Total revenues 2,947 2,946 5,648 5,578
Other segment expense, net        
Total other segment expense, net 2,727 2,855 5,207 5,295
Segment operating profit        
Subtotal 220 91 441 283
Segment depreciation and amortization        
Total segment depreciation and amortization 23 22 45 44
Segment expenditures for long-lived assets        
Total segment expenditures for long-lived assets $ 32 $ 42 $ 57 $ 93
Revenue derived from services (less than) (as a percent) 1.00% 1.00% 1.00% 1.00%
Restructuring charges $ 19 $ 147 $ 36 $ 150
Severance and employee-related costs, net 5 144 10 144
Other        
Segment revenues        
Total revenues 302 265 607 546
Other segment expense, net        
Total other segment expense, net 274 252 566 516
Segment operating profit        
Subtotal 28 13 41 30
Segment depreciation and amortization        
Total segment depreciation and amortization 1 5 4 10
Segment expenditures for long-lived assets        
Total segment expenditures for long-lived assets 4 4 5 9
Corporate        
Segment operating profit        
Corporate expenses, net (207) (244) (400) (347)
Segment depreciation and amortization        
Total segment depreciation and amortization 41 34 78 69
Segment expenditures for long-lived assets        
Total segment expenditures for long-lived assets 63 84 140 143
Restructuring charges 38 23 67 24
Severance and employee-related costs, net $ 0 4 $ (1) 3
Gain associated with equity investments       95
Corporate | Canadian retail disposal group        
Segment expenditures for long-lived assets        
Other comprehensive loss   $ 50   50
Corporate | National Prescription Opioid Litigation        
Segment expenditures for long-lived assets        
Pre-tax charges related to estimated litigation liability       $ 51