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Equity method investments - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
May 31, 2020
May 31, 2019
May 31, 2020
May 31, 2019
Aug. 31, 2019
Schedule of Equity Method Investments [Line Items]          
Equity earnings (losses)     $ 297 $ 124  
Impairment of equity method investments $ 71        
AmerisourceBergen          
Schedule of Equity Method Investments [Line Items]          
Outstanding shares owned (in shares) 56,854,868   56,854,868   56,854,868
Ownership percentage 28.00%   28.00%   27.00%
Period of reporting lag     2 months    
Equity investment, exceeded its proportionate share of net assets $ 4,400   $ 4,400    
AmerisourceBergen | Level 1          
Schedule of Equity Method Investments [Line Items]          
Fair market value of equity investment 5,400   5,400    
Other Investments          
Schedule of Equity Method Investments [Line Items]          
Equity earnings (losses) $ 7 $ 5 $ 14 $ 19