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Segment Reporting - Reconciliation of Operating Earnings to Net Income (Details)
3 Months Ended 12 Months Ended
Dec. 31, 2019
USD ($)
Sep. 30, 2019
USD ($)
store
Jun. 30, 2019
USD ($)
Mar. 31, 2019
USD ($)
store
Dec. 31, 2018
USD ($)
Sep. 30, 2018
USD ($)
Jun. 30, 2018
USD ($)
Mar. 31, 2018
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Mar. 09, 2018
USD ($)
Segment Reporting Information [Line Items]                        
Operating income (GAAP measure) $ 3,037,000,000 $ 2,928,000,000 $ 3,332,000,000 $ 2,690,000,000 $ 824,000,000 $ 2,574,000,000 $ (1,373,000,000) $ 1,996,000,000 $ 11,987,000,000 $ 4,021,000,000 $ 9,538,000,000  
Amortization of intangible assets                 2,436,000,000 1,006,000,000 817,000,000  
Acquisition-related transaction and integration costs                 480,000,000 492,000,000 65,000,000  
Charges in connection with store rationalization                 231,000,000 0 215,000,000  
Loss on divestiture of subsidiary                 (205,000,000) (86,000,000) (9,000,000)  
Goodwill impairments   0             0 6,149,000,000 181,000,000  
Impairment of long-lived assets                 0 43,000,000 0  
Interest income on financing for the Aetna Acquisition                 0 (536,000,000) 0  
Adjusted operating income                 $ 15,339,000,000 11,261,000,000 10,825,000,000  
Retail/ LTC                        
Segment Reporting Information [Line Items]                        
Charges in connection with store rationalization   $ 96,000,000   $ 135,000,000             215,000,000  
Goodwill impairments                   6,149,000,000 $ 181,000,000  
Number of under performing stores | store   22   46                
RX Crossroads                        
Segment Reporting Information [Line Items]                        
Loss on divestiture of subsidiary                   $ 725,000,000    
2018 Senior Notes                        
Segment Reporting Information [Line Items]                        
Debt issued in acquisition                       $ 40,000,000,000