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Equity method investments - Schedule of Equity Method Investments (Details) - USD ($)
$ in Millions
Nov. 30, 2019
Aug. 31, 2019
Nov. 30, 2018
Schedule of Equity Method Investments [Line Items]      
Carrying value $ 6,902 $ 6,851  
AmerisourceBergen      
Schedule of Equity Method Investments [Line Items]      
Carrying value $ 5,194 $ 5,211  
Ownership percentage 28.00% 27.00%  
Others      
Schedule of Equity Method Investments [Line Items]      
Carrying value $ 1,708 $ 1,640  
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 $ 6,902 $ 6,851