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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Cash flows from operating activities:    
Cash receipts from customers $ 84,997 $ 87,798
Cash paid for inventory, prescriptions dispensed and health services rendered (44,824) (50,223)
Insurance benefits paid (24,894) (19,757)
Cash paid to other suppliers and employees (9,677) (9,958)
Interest and investment income received 407 426
Interest paid (1,043) (773)
Income taxes paid (63) (75)
Net cash provided by operating activities 4,903 7,438 Close
Cash flows from investing activities:    
Proceeds from sales and maturities of investments 2,153 1,891
Purchases of investments (3,545) (2,358)
Purchases of property and equipment (705) (984)
Acquisitions (net of cash and restricted cash acquired) (25) (7,094)
Other 28 31
Net cash used in investing activities (2,094) (8,514) Close
Cash flows from financing activities:    
Commercial paper borrowings (repayments), net 2,519 0
Proceeds from issuance of long-term debt 0 5,951
Repayments of long-term debt (18) (362)
Repurchase of common stock (3,027) (2,018)
Dividends paid (840) (779)
Proceeds from exercise of stock options 203 96
Payments for taxes related to net share settlement of equity awards (31) (34)
Other (33) (128)
Net cash provided by (used in) financing activities (1,227) 2,726 Close
Net increase in cash, cash equivalents and restricted cash 1,582 1,650 Close
Cash, cash equivalents and restricted cash at the beginning of the period 8,525 13,305
Cash, cash equivalents and restricted cash at the end of the period 10,107 14,955
Reconciliation of net income to net cash provided by operating activities:    
Net income 1,124 2,142
Adjustments required to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 1,138 1,001
Stock-based compensation 137 103
Deferred income taxes and other noncash items (217) 155
Change in operating assets and liabilities, net of effects from acquisitions:    
Accounts receivable, net 3,008 (751)
Inventories 1,660 828
Other assets (2,836) (1,255)
Accounts payable and pharmacy claims and discounts payable (1,410) (1,203)
Health care costs payable and other insurance liabilities 2,253 4,382
Other liabilities 46 2,036
Net cash provided by operating activities $ 4,903 $ 7,438