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Segment reporting (Details)
$ in Millions
3 Months Ended 6 Months Ended
Feb. 28, 2019
USD ($)
Feb. 28, 2018
USD ($)
Feb. 28, 2019
USD ($)
segment
Feb. 28, 2018
USD ($)
Segment Reporting Information [Line Items]        
Number of reportable segments | segment     3  
Segment Reporting Information, Operating Income (Loss) [Abstract]        
Sales $ 34,528 $ 33,021 $ 68,321 $ 63,761
Adjusted operating income 1,935 2,160 3,667 3,966
Acquisition-related amortization (123) (113) (246) (198)
Transformational cost management (150)   (179)  
Acquisition-related costs (82) (65) (148) (116)
Adjustments to equity earnings in AmerisourceBergen (9) 113 (54) (76)
Store optimization (31)   (51)  
LIFO provision (8) (43) (48) (97)
Certain legal and regulatory accruals and settlements (14) (90) (24) (115)
LIFO provision       (83)
Asset recovery   15   15
Operating income 1,517 1,977 2,918 3,296
Reportable Segments | Retail Pharmacy USA        
Segment Reporting Information, Operating Income (Loss) [Abstract]        
Sales 26,257 24,478 51,979 46,967
Adjusted operating income 1,455 1,650 2,834 3,028
Reportable Segments | Retail Pharmacy International        
Segment Reporting Information, Operating Income (Loss) [Abstract]        
Sales 3,082 3,317 5,982 6,400
Adjusted operating income 256 276 388 481
Reportable Segments | Pharmaceutical Wholesale        
Segment Reporting Information, Operating Income (Loss) [Abstract]        
Sales 5,738 5,755 11,446 11,473
Adjusted operating income 225 231 445 456
Eliminations        
Segment Reporting Information, Operating Income (Loss) [Abstract]        
Sales (549) (529) (1,086) (1,079)
Adjusted operating income $ (1) $ 3 0 $ 1
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