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Equity method investments - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
May 31, 2018
May 31, 2017
May 31, 2018
May 31, 2017
Aug. 31, 2017
Schedule of Equity Method Investments [Line Items]          
Equity earnings (losses) $ 15 $ (21) $ 42 $ 7  
AmerisourceBergen          
Schedule of Equity Method Investments [Line Items]          
Outstanding shares owned (in shares) 56,854,867   56,854,867   56,854,867
Ownership percentage 26.00%   26.00%   26.00%
Period of reporting lag     2 months    
Equity investment, exceeded its proportionate share of net assets $ 4,200   $ 4,200    
AmerisourceBergen | Level 1          
Schedule of Equity Method Investments [Line Items]          
Fair market value of equity investment 4,700   4,700    
Other Investments          
Schedule of Equity Method Investments [Line Items]          
Equity earnings (losses) $ 15 $ (21) 42 $ 7  
Guangzhou Pharmaceuticals Corporation          
Schedule of Equity Method Investments [Line Items]          
Equity method investments, percent of investment sold 30.00%        
Equity method investment, amount sold $ 172        
Cumulative translation adjustment loss $ 8        
Other income (expense) | Guangzhou Pharmaceuticals Corporation          
Schedule of Equity Method Investments [Line Items]          
Equity method investments impairment     $ 170