v3.24.3
Segment Information - Major Customers (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Loss Contingencies [Line Items]        
Revenues from external customers $ 63,609 $ 48,727 $ 180,776 $ 143,275
Revenue | Customer Concentration Risk | Single Pharmacy Benefit Client        
Loss Contingencies [Line Items]        
Concentration percentage 16.00%   16.00%  
Revenue | Customer Concentration Risk | U.S. Federal Government Agencies        
Loss Contingencies [Line Items]        
Concentration percentage 10.00%   11.00%