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Exit and disposal activities - Restructuring Costs (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Feb. 29, 2020
Feb. 28, 2019
Feb. 29, 2020
Feb. 28, 2019
Transformational Cost Management Program        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs $ 109 $ 150 $ 173 $ 179
Transformational Cost Management Program | Reportable Segments | Retail Pharmacy USA        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 60 14 110 16
Transformational Cost Management Program | Reportable Segments | Retail Pharmacy International        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 43 40 52 67
Transformational Cost Management Program | Reportable Segments | Pharmaceutical Wholesale        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 5 96 12 96
Transformational Cost Management Program | Lease obligations and other real estate costs        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 10   11  
Transformational Cost Management Program | Lease obligations and other real estate costs | Reportable Segments | Retail Pharmacy USA        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 9   10  
Transformational Cost Management Program | Lease obligations and other real estate costs | Reportable Segments | Retail Pharmacy International        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 1   1  
Transformational Cost Management Program | Lease obligations and other real estate costs | Reportable Segments | Pharmaceutical Wholesale        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 0   0  
Transformational Cost Management Program | Asset impairment        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 3 111 15 117
Transformational Cost Management Program | Asset impairment | Reportable Segments | Retail Pharmacy USA        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 3 0 11 0
Transformational Cost Management Program | Asset impairment | Reportable Segments | Retail Pharmacy International        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 0 26 3 32
Transformational Cost Management Program | Asset impairment | Reportable Segments | Pharmaceutical Wholesale        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 0 85 0 85
Transformational Cost Management Program | Employee severance and business transition costs        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 72 39 111 62
Transformational Cost Management Program | Employee severance and business transition costs | Reportable Segments | Retail Pharmacy USA        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 39 14 72 16
Transformational Cost Management Program | Employee severance and business transition costs | Reportable Segments | Retail Pharmacy International        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 29 14 30 35
Transformational Cost Management Program | Employee severance and business transition costs | Reportable Segments | Pharmaceutical Wholesale        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 4 11 9 11
Transformational Cost Management Program | Information technology transformation and other exit costs        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 24   36  
Transformational Cost Management Program | Information technology transformation and other exit costs | Reportable Segments | Retail Pharmacy USA        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 9   16  
Transformational Cost Management Program | Information technology transformation and other exit costs | Reportable Segments | Retail Pharmacy International        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 13   17  
Transformational Cost Management Program | Information technology transformation and other exit costs | Reportable Segments | Pharmaceutical Wholesale        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 1   2  
Store Optimization Program        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 30 31 39 51
Store Optimization Program | Lease obligations and other real estate costs        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs 18 9 21 2
Store Optimization Program | Employee severance and other exit costs        
Restructuring Cost and Reserve [Line Items]        
Total pre-tax exit and disposal costs $ 12 $ 22 $ 18 $ 49