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Segment Reporting (Details)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2015
USD ($)
Sep. 30, 2015
USD ($)
Jun. 30, 2015
USD ($)
Mar. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Sep. 30, 2014
USD ($)
Jun. 30, 2014
USD ($)
Mar. 31, 2014
USD ($)
Dec. 31, 2015
USD ($)
segment
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Segment reporting information                      
Number of segments | segment                 3    
Net revenues $ 41,145 $ 38,644 $ 37,169 $ 36,332 $ 37,055 $ 35,021 $ 34,602 $ 32,689 $ 153,290 $ 139,367 $ 126,761
Gross profit 7,301 6,661 6,402 6,164 6,633 6,468 6,324 5,942 26,528 25,367 23,783
Operating profit $ 2,729 $ 2,331 $ 2,262 $ 2,132 $ 2,321 $ 2,246 $ 2,208 $ 2,024 9,454 8,799 8,037
Depreciation and amortization                 2,092 1,931 1,870
Additions to property and equipment                 2,367 2,136 1,984
Gain related to litigation settlement                     72
Operating Segments | Pharmacy Services Segment                      
Segment reporting information                      
Net revenues [1],[2]                 100,363 88,440 76,208
Gross profit [1],[2]                 5,227 4,771 4,237
Operating profit [1],[2]                 3,989 [3] 3,514 3,086 [4]
Depreciation and amortization [1],[2]                 654 630 560
Additions to property and equipment [1],[2]                 359 308 313
Net revenues, retail co-payments                 8,900 8,100 7,900
Gain related to litigation settlement                     11
Operating Segments | Retail/LTC Segment                      
Segment reporting information                      
Net revenues [1]                 72,007 67,798 65,618
Gross profit [1]                 21,992 21,277 20,112
Operating profit [1]                 7,130 [3] 6,762 6,268 [4]
Depreciation and amortization [1]                 1,336 1,205 1,217
Additions to property and equipment [1]                 1,883 1,745 1,610
Gain related to litigation settlement                     61
Operating Segments | Corporate Segment                      
Segment reporting information                      
Net revenues                 0 0 0
Gross profit                 0 0 0
Operating profit                 (1,037) (796) (751)
Depreciation and amortization                 102 96 93
Additions to property and equipment                 125 83 61
Acquisition related costs                 156    
Payments for legal settlements                 90    
Intersegment Eliminations                      
Segment reporting information                      
Net revenues [1]                 (19,080) (16,871) (15,065)
Gross profit [1]                 (691) (681) (566)
Operating profit [1]                 (628) [3] (681) (566) [4]
Depreciation and amortization [1]                 0 0 0
Additions to property and equipment [1]                 $ 0 $ 0 $ 0
[1] Intersegment eliminations relate to intersegment revenue generating activities that occur between the Pharmacy Services Segment and the Retail/LTC Segment. These occur in the following ways: when members of Pharmacy Services Segment clients (“members”) fill prescriptions at retail stores to purchase covered products, when members enrolled in programs such as Maintenance Choice® elect to pick up maintenance prescriptions at a retail drugstore instead of receiving them through the mail, or when members have prescriptions filled at long-term care facilities. When these occur, both the Pharmacy Services and Retail/LTC segments record the revenues, gross profit and operating profit on a standalone basis.
[2] Net revenues of the Pharmacy Services Segment include approximately $8.9 billion, $8.1 billion and $7.9 billion of Retail Co-Payments for 2015, 2014 and 2013, respectively. See Note 1 to the consolidated financial statements for additional information about Retail Co-Payments.
[3] For the year ended December 31, 2015, the Corporate Segment operating loss includes $156 million of acquisition-related transaction and integration costs and a $90 million charge related to a legacy lawsuit challenging the 1999 legal settlement by MedPartners of various securities class actions and a related derivative claim.
[4] Consolidated operating profit for the year ended December 31, 2013 includes a $72 million gain on a legal settlement, of which, $11 million is included in the Pharmacy Services Segment and $61 million is included in the Retail/LTC Segment.