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Segment reporting - results of operations of reportable segments (Details)
$ in Millions
3 Months Ended 12 Months Ended
Aug. 31, 2019
USD ($)
May 31, 2019
USD ($)
Feb. 28, 2019
USD ($)
Nov. 30, 2018
USD ($)
Aug. 31, 2018
USD ($)
May 31, 2018
USD ($)
Feb. 28, 2018
USD ($)
Nov. 30, 2017
USD ($)
Aug. 31, 2019
USD ($)
segment
Aug. 31, 2018
USD ($)
Aug. 31, 2017
USD ($)
Segment Reporting Information [Line Items]                      
Number of reportable segments | segment                 3    
Segment Reporting Information, Operating Income (Loss) [Abstract]                      
Sales to external customers $ 33,954 $ 34,591 $ 34,528 $ 33,793 $ 33,442 $ 34,334 $ 33,021 $ 30,740 $ 136,866 $ 131,537 $ 118,214
Adjusted operating income                 6,942 7,679 7,467
Depreciation and amortization                 2,038 1,770 1,654
Capital expenditures                 1,702 1,367 1,351
Acquisition-related amortization and impairment                 (567) (448) (332)
Transformational cost management                 (477) 0 0
Acquisition-related costs                 (303) (231) (474)
Adjustments to equity earnings in AmerisourceBergen                 (233) (175) (187)
Store optimization                 (196) (100) 0
LIFO provision                 (136) (84) (166)
Certain legal and regulatory accruals and settlements                 (31) (284) 0
Asset recovery                 0 15 11
Hurricane-related costs                 0 (83) 0
Cost Transformation                 0 0 (835)
Operating income                 $ 4,998 $ 6,289 5,484
Two Third-Party Payers | Revenues                      
Segment Reporting Information, Operating Income (Loss) [Abstract]                      
Concentration risk (as a percent)                 22.00%    
Three Third-Party Payers | Revenues                      
Segment Reporting Information, Operating Income (Loss) [Abstract]                      
Concentration risk (as a percent)                   32.00%  
Operating Segments | Retail Pharmacy USA                      
Segment Reporting Information, Operating Income (Loss) [Abstract]                      
Sales to external customers                 $ 104,532 $ 98,392 87,302
Adjusted operating income                 5,255 5,814 5,606
Depreciation and amortization                 1,459 1,196 1,090
Capital expenditures                 1,323 1,022 860
Operating Segments | Retail Pharmacy International                      
Segment Reporting Information, Operating Income (Loss) [Abstract]                      
Sales to external customers                 11,462 12,281 11,813
Adjusted operating income                 747 929 939
Depreciation and amortization                 429 419 414
Capital expenditures                 275 241 384
Operating Segments | Pharmaceutical Wholesale                      
Segment Reporting Information, Operating Income (Loss) [Abstract]                      
Sales to external customers                 23,053 23,006 21,188
Adjusted operating income                 939 936 922
Depreciation and amortization                 150 155 150
Capital expenditures                 104 104 107
Intersegment Eliminations                      
Segment Reporting Information, Operating Income (Loss) [Abstract]                      
Sales to external customers                 (2,180) (2,142) (2,089)
Adjusted operating income                 $ 1
Boots Reporting Unit | Pharmacy licenses                      
Segment Reporting Information, Operating Income (Loss) [Abstract]                      
Impairment of intangible assets $ 73