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Segment reporting (Details)
$ in Millions
3 Months Ended
Nov. 30, 2018
USD ($)
segment
Nov. 30, 2017
USD ($)
Segment Reporting Information [Line Items]    
Number of reportable segments | segment 3  
Segment Reporting Information, Operating Income (Loss) [Abstract]    
Sales $ 33,793 $ 30,740
Adjusted operating income 1,732 1,806
Acquisition-related amortization (123) (85)
Acquisition-related costs (66) (51)
Adjustments to equity earnings in AmerisourceBergen (44) (189)
LIFO provision (39) (54)
Transformational cost management (30)  
Store optimization (20)  
Certain legal and regulatory accruals and settlements (10) (25)
Hurricane-related costs   (83)
Operating income 1,400 1,319
Reportable Segments | Retail Pharmacy USA    
Segment Reporting Information, Operating Income (Loss) [Abstract]    
Sales 25,721 22,489
Adjusted operating income 1,379 1,378
Reportable Segments | Retail Pharmacy International    
Segment Reporting Information, Operating Income (Loss) [Abstract]    
Sales 2,901 3,083
Adjusted operating income 132 205
Reportable Segments | Pharmaceutical Wholesale    
Segment Reporting Information, Operating Income (Loss) [Abstract]    
Sales 5,708 5,718
Adjusted operating income 220 225
Eliminations    
Segment Reporting Information, Operating Income (Loss) [Abstract]    
Sales (537) (550)
Adjusted operating income 1 $ (2)
November 30, 2017 Legal And Regulatory Accruals And Settlements    
Segment Reporting Information, Operating Income (Loss) [Abstract]    
Adjustments to financial statements to present non-GAAP measures 14  
February 28, 2018 Legal And Regulatory Accruals And Settlements    
Segment Reporting Information, Operating Income (Loss) [Abstract]    
Adjustments to financial statements to present non-GAAP measures 50  
May 31, 2018 Legal And Regulatory Accruals And Settlements    
Segment Reporting Information, Operating Income (Loss) [Abstract]    
Adjustments to financial statements to present non-GAAP measures $ 5