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Goodwill and other intangible assets - Schedule of Goodwill (Details)
$ in Millions
3 Months Ended
Nov. 30, 2017
USD ($)
Goodwill [Roll Forward]  
Net book value - Beginning Period $ 15,632
Acquisitions 101
Currency translation adjustments 198
Net book value - Ending Period 15,931
Reportable Segments | Retail Pharmacy USA  
Goodwill [Roll Forward]  
Net book value - Beginning Period 9,139
Acquisitions 101
Currency translation adjustments 0
Net book value - Ending Period 9,240
Reportable Segments | Retail Pharmacy International  
Goodwill [Roll Forward]  
Net book value - Beginning Period 3,392
Acquisitions 0
Currency translation adjustments 103
Net book value - Ending Period 3,495
Reportable Segments | Pharmaceutical Wholesale  
Goodwill [Roll Forward]  
Net book value - Beginning Period 3,101
Acquisitions 0
Currency translation adjustments 95
Net book value - Ending Period $ 3,196