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Goodwill and other intangible assets - Schedule of Goodwill (Details)
$ in Millions
3 Months Ended
Nov. 30, 2018
USD ($)
Goodwill [Roll Forward]  
Net book value - Beginning Period $ 16,914
Acquisitions 6
Currency translation adjustments (111)
Net book value - Ending Period 16,809
Reportable Segments | Retail Pharmacy USA  
Goodwill [Roll Forward]  
Net book value - Beginning Period 10,483
Acquisitions 6
Currency translation adjustments 0
Net book value - Ending Period 10,489
Reportable Segments | Retail Pharmacy International  
Goodwill [Roll Forward]  
Net book value - Beginning Period 3,370
Acquisitions 0
Currency translation adjustments (64)
Net book value - Ending Period 3,306
Reportable Segments | Pharmaceutical Wholesale  
Goodwill [Roll Forward]  
Net book value - Beginning Period 3,061
Acquisitions 0
Currency translation adjustments (47)
Net book value - Ending Period $ 3,014