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Significant Accounting Policies - Receivables (Details) - USD ($)
$ in Millions
Sep. 30, 2023
Dec. 31, 2022
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Total $ 2,460 $ 2,302
Government receivables    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Total 1,737 1,702
Pharmacy rebate receivables    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Total 316 291
Other    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Total $ 407 $ 309