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Significant Accounting Policies - Narrative (Details)
shares in Millions, person in Millions, patient in Millions, member in Millions
1 Months Ended 3 Months Ended 12 Months Ended
Jul. 01, 2019
USD ($)
store
Dec. 31, 2018
USD ($)
shares
Sep. 30, 2019
USD ($)
Mar. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
shares
Sep. 30, 2018
USD ($)
Jun. 30, 2018
USD ($)
Dec. 31, 2019
USD ($)
member
person
clinic
patient
store
Segment
state
shares
Dec. 31, 2018
USD ($)
shares
Dec. 31, 2017
USD ($)
Dec. 31, 2014
Jan. 01, 2019
USD ($)
Oct. 31, 2014
payment
Significant Accounting Policies [Line Items]                          
Number of plan members | member               105          
Number of patients served per year | patient               1          
Number of people served | person               37          
Number of reportable segments | Segment               4          
Deferred acquisition costs   $ 22,000,000     $ 22,000,000     $ 271,000,000 $ 22,000,000        
Depreciation               1,900,000,000 1,700,000,000 $ 1,700,000,000      
Store rationalization charges               231,000,000 0 215,000,000      
Impairment of long-lived assets               0 43,000,000 0      
Goodwill impairments     $ 0         0 6,149,000,000 181,000,000      
Impairment of intangible assets, indefinite-lived               $ 0 0 0      
Assumed interest rates on long-duration group life and long-term care contracts   5.10%           5.10%          
HSA balances   $ 2,100,000,000     2,100,000,000     $ 2,200,000,000 2,100,000,000        
Self insurance liabilities   $ 865,000,000     $ 865,000,000     $ 856,000,000 865,000,000        
Pharmacy rebate period               30 days          
Health insurer fee               $ 0 157,000,000 0      
Advertising costs               $ 396,000,000 364,000,000 230,000,000      
Provisional benefit of revaluation of net DTL due to TCJA                   1,500,000,000      
Benefit of revaluation of net DTL due to TCJA                 $ 100,000,000        
Common stock, shares held in trust (in shares) | shares   1     1     1 1        
VIE, ownership percentage                     50.00%    
Initial contractual term                     10 years    
Number of quarterly payments from VIE | payment                         39
Proceeds from VIE               $ 183,000,000 $ 183,000,000 183,000,000      
Expenses from transactions with related party               32,000,000 45,000,000 35,000,000      
Other revenues from transactions with related party               96,000,000 135,000,000 139,000,000      
Charitable contribution to CVS Health Foundation               30,000,000          
Increase to retained earnings   $ 40,911,000,000     $ 40,911,000,000     $ 45,108,000,000 40,911,000,000     $ 41,089,000,000  
Heartland Healthcare Services                          
Significant Accounting Policies [Line Items]                          
Number of states in which entity operates | state               4          
Foreign currency translation adjustments                          
Significant Accounting Policies [Line Items]                          
Cumulative translation adjustment from AOCI eliminated upon divestiture               $ (154,000,000) 0 0      
Other Insurance Liabilities                          
Significant Accounting Policies [Line Items]                          
Liability for unpaid claims   816,000,000     816,000,000     704,000,000 816,000,000        
Future policy benefits   536,000,000     536,000,000     508,000,000 536,000,000        
Other Long-Term Insurance Liabilities                          
Significant Accounting Policies [Line Items]                          
Liability for unpaid claims   1,900,000,000     1,900,000,000     1,800,000,000 1,900,000,000        
Future policy benefits   $ 6,200,000,000     6,200,000,000     $ 5,600,000,000 6,200,000,000        
Minimum                          
Significant Accounting Policies [Line Items]                          
Period after date of service a claim is paid               6 months          
Assumed interest rates on limited payment pension contracts on large case pension business (in hundredths)   3.50%           3.50%          
Interest rate for pension and annuity investment contracts   3.50%           3.50%          
Share-based compensation arrangement, requisite service period               3 years          
Minimum | Building, building improvements and leasehold improvements                          
Significant Accounting Policies [Line Items]                          
Useful life of property plant and equipment               1 year          
Minimum | Fixtures, equipment and internally developed software                          
Significant Accounting Policies [Line Items]                          
Useful life of property plant and equipment               3 years          
Maximum                          
Significant Accounting Policies [Line Items]                          
Lease renewal term               5 years          
Period after date of service a claim is paid               48 months          
Assumed interest rates on limited payment pension contracts on large case pension business (in hundredths)   11.30%           11.30%          
Interest rate for pension and annuity investment contracts   13.40%           15.00%          
Share-based compensation arrangement, requisite service period               5 years          
Maximum | Building, building improvements and leasehold improvements                          
Significant Accounting Policies [Line Items]                          
Useful life of property plant and equipment               40 years          
Maximum | Fixtures, equipment and internally developed software                          
Significant Accounting Policies [Line Items]                          
Useful life of property plant and equipment               10 years          
ASU 2016-02                          
Significant Accounting Policies [Line Items]                          
Increase to retained earnings                       178,000,000  
Increase to retained earnings, pre-tax                       $ 241,000,000  
Brazil Subsidiary | Discontinued Operations, Disposed of by Sale | Foreign currency translation adjustments                          
Significant Accounting Policies [Line Items]                          
Cumulative translation adjustment from AOCI eliminated upon divestiture $ 154,000,000                        
Retail/ LTC                          
Significant Accounting Policies [Line Items]                          
Number of stores | store               9,900          
Number of walk-in medical clinics | clinic               1,100          
Store rationalization charges     $ 96,000,000 $ 135,000,000           215,000,000      
Goodwill impairments                 6,149,000,000 $ 181,000,000      
Retail/ LTC | Brazil Subsidiary | Discontinued Operations, Disposed of by Sale                          
Significant Accounting Policies [Line Items]                          
Number of stores | store 50                        
Retail/ LTC | Long-Term Care Reporting Unit                          
Significant Accounting Policies [Line Items]                          
Goodwill impairments         2,200,000,000 $ 0 $ 3,900,000,000            
Health Care Benefits                          
Significant Accounting Policies [Line Items]                          
Number of people served | person               37          
Goodwill impairments                 0        
Health Insurance Product Line                          
Significant Accounting Policies [Line Items]                          
Premium deficiency reserve   $ 16,000,000     $ 16,000,000     $ 4,000,000 $ 16,000,000