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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Cash flows from operating activities:    
Cash receipts from customers $ 173,728 $ 175,567
Cash paid for inventory, prescriptions dispensed and health services rendered (90,845) (101,318)
Insurance benefits paid (52,485) (41,108)
Cash paid to other suppliers and employees (21,124) (17,686)
Interest and investment income received 839 801
Interest paid (1,392) (1,131)
Income taxes paid (729) (1,779)
Net cash provided by operating activities 7,992 13,346 Close
Cash flows from investing activities:    
Proceeds from sales and maturities of investments 4,418 3,640
Purchases of investments (6,781) (4,499)
Purchases of property and equipment (1,343) (1,575)
Acquisitions (net of cash and restricted cash acquired) (73) (16,474)
Other 60 32
Net cash used in investing activities (3,719) (18,876) Close
Cash flows from financing activities:    
Commercial paper borrowings (repayments), net (200) 1,000
Proceeds from issuance of short-term loan 0 5,000
Repayment of short-term loan 0 (5,000)
Proceeds from issuance of long-term debt 4,959 10,898
Repayments of long-term debt (37) (1,787)
Repurchase of common stock (3,024) (2,016)
Dividends paid (1,698) (1,574)
Proceeds from exercise of stock options 228 120
Payments for taxes related to net share settlement of equity awards (176) (168)
Other (30) (121)
Net cash provided by financing activities 22 6,352 Close
Net increase in cash, cash equivalents and restricted cash 4,295 822 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 12,820 14,127
Reconciliation of net income to net cash provided by operating activities:    
Net income 2,892 4,056
Adjustments required to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 2,289 2,105
Stock-based compensation 270 307
Deferred income taxes and other items (341) 87
Change in operating assets and liabilities, net of effects from acquisitions:    
Accounts receivable, net 2,798 (804)
Inventories 1,937 1,800
Other assets (2,241) (913)
Accounts payable and pharmacy claims and discounts payable 1,191 (118)
Health care costs payable and other insurance liabilities 1,581 4,334
Other liabilities (2,384) 2,492
Net cash provided by operating activities $ 7,992 $ 13,346