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Equity method investments - Schedule of Equity Method Investments (Details) - USD ($)
$ in Millions
Nov. 30, 2018
Aug. 31, 2018
Schedule of Equity Method Investments [Line Items]    
Carrying value $ 6,570 $ 6,610
AmerisourceBergen    
Schedule of Equity Method Investments [Line Items]    
Carrying value $ 5,156 $ 5,138
Ownership percentage 27.00% 26.00%
Others    
Schedule of Equity Method Investments [Line Items]    
Carrying value $ 1,414 $ 1,472
Others | Minimum    
Schedule of Equity Method Investments [Line Items]    
Ownership percentage 8.00% 8.00%
Others | Maximum    
Schedule of Equity Method Investments [Line Items]    
Ownership percentage 50.00% 50.00%
Total    
Schedule of Equity Method Investments [Line Items]    
Carrying value $ 6,570 $ 6,610