v3.24.1.u1
Summary of Significant Accounting Policies (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Dec. 31, 2022
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Decrease to shareholders' equity $ (41,350) $ (44,518) $ (46,244) $ (44,688)
Increase to shareholders' net income $ (277) $ 1,267    
Increase to diluted earnings per share (in dollars per share) $ (0.97) $ 4.24    
Pharmacy Benefits Management Services | Guarantees        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Performance guarantee liability $ 1,900   $ 1,600