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v3.25.2

Segment Reporting - Reconciliation of Financial Measures of Segments to Consolidated Totals (Details) $ in Millions | 1 Months Ended | 3 Months Ended | 6 Months Ended
--- | --- | --- | ---
Jun. 30, 2025 client | Jun. 30, 2025 USD ($) claim | Mar. 31, 2025 USD ($) | Jun. 30, 2024 USD ($) | Jun. 30, 2025 USD ($) | Jun. 30, 2024 USD ($)
Segment Reporting Information [Line Items] |  |  |  |  |  |
Revenues from external customers |  | $ 98,428 |  | $ 90,840 | $ 192,496 | $ 178,823
Net investment income (loss) |  | 487 |  | 394 | 1,007 | 848
Total revenues |  | 98,915 |  | 91,234 | 193,503 | 179,671
Less: Net realized capital gains (losses) |  | (27) |  | (90) | (48) | (108)
Cost of products sold |  | 54,005 |  | 49,998 | 105,062 | 98,071
Health care costs |  | 31,317 |  | 27,853 | 60,452 | 55,656
Reconciliation of principal measure of segment performance to consolidated operating income: |  |  |  |  |  |
Amortization of intangible assets |  | 494 |  | 507 | 993 | 1,015
Net realized capital losses |  | 27 |  | 90 | 48 | 108
Acquisition-related transaction and integration costs |  | 28 |  | 102 | 73 | 162
Office real estate optimization charges |  | 4 |  |  | 10 |
Litigation charges |  | 833 |  |  | 1,220 | 100
Loss on Accountable Care assets |  | 41 |  |  | 288 |
Operating income |  | 2,381 |  | 3,045 | 5,755 | 5,316
Interest expense |  | 763 |  | 732 | 1,548 | 1,448
Other income |  | (29) |  | (24) | (57) | (49)
Income before income tax provision |  | 1,647 |  | 2,337 | 4,264 | 3,917
Depreciation and amortization |  | $ 1,171 |  | 1,151 | 2,325 | 2,289
Number of claims for which litigation charges were recorded | claim |  | 2 |  |  |  |
U.S. ex rel. Bassan et al. v. Omnicare, Inc. and CVS Health Corp. |  |  |  |  |  |
Reconciliation of principal measure of segment performance to consolidated operating income: |  |  |  |  |  |
Litigation charges |  | $ 542 | $ 387 |  |  |
United States Ex Rel. Behnke v. CVS Caremark Corporation, Et Al. |  |  |  |  |  |
Reconciliation of principal measure of segment performance to consolidated operating income: |  |  |  |  |  |
Litigation charges |  | 291 |  |  |  |
Number of clients | client | 2 |  |  |  |  |
Health Care Benefits |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Revenues from external customers |  | 35,831 |  | 32,157 | 70,236 | 64,022
Net investment income (loss) |  | 407 |  | 300 | 794 | 653
Reconciliation of principal measure of segment performance to consolidated operating income: |  |  |  |  |  |
Depreciation and amortization |  | 419 |  | 397 | 824 | 789
Health Services |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Revenues from external customers |  | 40,118 |  | 38,694 | 78,214 | 75,160
Net investment income (loss) |  | (3) |  | (2) | 11 | (2)
Reconciliation of principal measure of segment performance to consolidated operating income: |  |  |  |  |  |
Loss on Accountable Care assets |  | 41 |  |  | 288 |
Depreciation and amortization |  | 260 |  | 264 | 521 | 525
Pharmacy & Consumer Wellness |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Revenues from external customers |  | 22,466 |  | 19,974 | 44,019 | 39,612
Net investment income (loss) |  | 0 |  | 0 | 0 | 0
Reconciliation of principal measure of segment performance to consolidated operating income: |  |  |  |  |  |
Depreciation and amortization |  | 389 |  | 389 | 773 | 777
Corporate/ Other |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Revenues from external customers |  | 13 |  | 15 | 27 | 29
Net investment income (loss) |  | 83 |  | 96 | 202 | 197
Reconciliation of principal measure of segment performance to consolidated operating income: |  |  |  |  |  |
Depreciation and amortization |  | 103 |  | 101 | 207 | 198
Intersegment Eliminations |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Net investment income (loss) |  | 0 |  | 0 | 0 | 0
Total revenues |  | (17,473) |  | (13,361) | (33,202) | (26,285)
Intersegment Eliminations | Health Care Benefits |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Total revenues |  | (20) |  | (18) | (38) | (36)
Intersegment Eliminations | Health Services |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Total revenues |  | (6,338) |  | (3,479) | (11,690) | (7,298)
Intersegment Eliminations | Pharmacy & Consumer Wellness |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Total revenues |  | (11,115) |  | (9,864) | (21,474) | (18,951)
Operating Segments and Corporate/ Other |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Total revenues |  | 116,388 |  | 104,595 | 226,705 | 205,956
Adjusted operating income (loss) |  | 3,808 |  | 3,744 | 8,387 | 6,701
Operating Segments | Health Care Benefits |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Net investment income (loss) |  | 407 |  | 300 | 794 | 653
Total revenues |  | 36,258 |  | 32,475 | 71,068 | 64,711
Less: Net realized capital gains (losses) |  | (13) |  | (71) | (34) | (81)
Cost of products sold |  | 0 |  | 0 | 0 | 0
Health care costs |  | 30,740 |  | 27,458 | 59,377 | 54,916
Other segment items |  | 4,223 |  | 4,150 | 8,424 | 8,206
Adjusted operating income (loss) |  | 1,308 |  | 938 | 3,301 | 1,670
Reconciliation of principal measure of segment performance to consolidated operating income: |  |  |  |  |  |
Net realized capital losses |  | 13 |  | 71 | 34 | 81
Operating Segments | Health Services |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Net investment income (loss) |  | (3) |  | (2) | 11 | (2)
Total revenues |  | 46,453 |  | 42,171 | 89,915 | 82,456
Less: Net realized capital gains (losses) |  | 0 |  | 0 | 15 | 0
Cost of products sold |  | 43,080 |  | 38,765 | 83,195 | 76,297
Health care costs |  | 1,101 |  | 791 | 2,148 | 1,492
Other segment items |  | 697 |  | 700 | 1,379 | 1,389
Adjusted operating income (loss) |  | 1,575 |  | 1,915 | 3,178 | 3,278
Reconciliation of principal measure of segment performance to consolidated operating income: |  |  |  |  |  |
Net realized capital losses |  | 0 |  | 0 | (15) | 0
Co-payments |  | 2,700 |  | 2,800 | 6,400 | 6,200
Operating Segments | Pharmacy & Consumer Wellness |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Net investment income (loss) |  | 0 |  | 0 | 0 | 0
Total revenues |  | 33,581 |  | 29,838 | 65,493 | 58,563
Less: Net realized capital gains (losses) |  | 0 |  | 0 | 0 | 0
Cost of products sold |  | 27,554 |  | 23,835 | 53,358 | 46,595
Health care costs |  | 0 |  | 0 | 0 | 0
Other segment items |  | 4,689 |  | 4,760 | 9,484 | 9,548
Adjusted operating income (loss) |  | 1,338 |  | 1,243 | 2,651 | 2,420
Reconciliation of principal measure of segment performance to consolidated operating income: |  |  |  |  |  |
Net realized capital losses |  | 0 |  | 0 | 0 | 0
Corporate/ Other | Corporate/ Other |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |
Net investment income (loss) |  | 83 |  | 96 | 202 | 197
Total revenues |  | 96 |  | 111 | 229 | 226
Less: Net realized capital gains (losses) |  | (14) |  | (19) | (29) | (27)
Cost of products sold |  | 0 |  | 0 | 0 | 0
Health care costs |  | 40 |  | 46 | 86 | 93
Other segment items |  | 483 |  | 436 | 915 | 827
Adjusted operating income (loss) |  | (413) |  | (352) | (743) | (667)
Reconciliation of principal measure of segment performance to consolidated operating income: |  |  |  |  |  |
Net realized capital losses |  | $ 14 |  | $ 19 | $ 29 | $ 27

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