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Significant Accounting Policies - Narrative (Details) $ in Millions	12 Months Ended
	Mar. 31, 2026 USD ($) segment	Mar. 31, 2025 USD ($)	Mar. 31, 2024 USD ($)
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Number of reportable segments | segment	4
Allowance for credit losses	$ 194	$ 450
Provision for bad debts	100	(130)	$ 819
Inventory, net	$ 24,207	$ 23,001
LIFO inventory (percentage)	59.00%	63.00%
LIFO reserve	$ 99	$ 309
Charges (credits) associated with last-in, first-out inventory method	(210)	82	(157)
Shipping and handling costs	8,096	8,507	8,657
Depreciation expense for property, plant, and equipment, and amortization of finance leases	287	272	279
Capitalized software held for internal use, net	764	681
Capitalized software held for internal use, accumulated amortization	750	657
Capitalized software held for internal use, amortization	164	135	102
Sales returns from customers	2,500	2,900	3,000
Contract liabilities	$ 366	354
Real Property
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Renewal option increments for leases (in years)	5 years
Minimum
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Intangible assets, useful life	3 years
Minimum | Building and improvements
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Property, plant and equipment, useful life	15 years
Minimum | Machinery, equipment, and other
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Property, plant and equipment, useful life	3 years
Minimum | Building
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Lease term (in years)	1 year
Minimum | Equipment
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Lease term (in years)	1 year
Maximum
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Intangible assets, useful life	26 years
Capitalized software held for internal use, useful life	10 years
Maximum | Building and improvements
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Property, plant and equipment, useful life	30 years
Maximum | Machinery, equipment, and other
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Property, plant and equipment, useful life	15 years
Maximum | Building
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Lease term (in years)	15 years
Maximum | Equipment
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Lease term (in years)	5 years
Shipping and Handling
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Shipping and handling costs	$ 1,200	$ 1,100	$ 1,100
Sales Revenue, Net | Product Concentration Risk | Distribution and Retail Business
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Percentage of total consolidated revenues (percent)	98.00%	99.00%	98.00%
Sales Revenue, Net | Product Concentration Risk | Services Business
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Percentage of total consolidated revenues (percent)	2.00%	1.00%	2.00%
Ten Largest Customers | Sales Revenue, Net | Customer Concentration Risk
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Percentage of total consolidated revenues (percent)	73.00%
Ten Largest Customers | Accounts Receivable | Customer Concentration Risk
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Percentage of total consolidated revenues (percent)	43.00%
CVS | Sales Revenue, Net | Customer Concentration Risk
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Percentage of total consolidated revenues (percent)	24.00%
CVS | Accounts Receivable | Customer Concentration Risk
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Percentage of total consolidated revenues (percent)	21.00%
Second Largest Customer | Sales Revenue, Net | Customer Concentration Risk
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Percentage of total consolidated revenues (percent)	11.00%
Third Largest Customer | Sales Revenue, Net | Customer Concentration Risk
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Percentage of total consolidated revenues (percent)	10.00%
North American Pharmaceutical
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Provision for bad debts		$ (206)	$ 725
Allowance for credit loss, writeoff	$ 483	$ 237

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