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Equity method investments - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Jun. 01, 2021
Jan. 06, 2021
May 31, 2021
Nov. 30, 2020
Sep. 30, 2020
May 31, 2020
May 31, 2021
May 31, 2020
Aug. 31, 2020
Schedule of Equity Method Investments [Line Items]                  
Equity earnings (loss) in AmerisourceBergen     $ 97     $ 243 $ (1,196) $ 284  
Equity earnings (losses)             (577) 297  
Gain on sale of equity method investment             $ 290 0  
Discontinued Operations, Held-for-sale | Alliance Healthcare                  
Schedule of Equity Method Investments [Line Items]                  
Cash received from disposal $ 6,275 $ 6,275              
Shares issued as part of disposal (in shares) 2,000,000 2,000,000              
AmerisourceBergen                  
Schedule of Equity Method Investments [Line Items]                  
Outstanding shares owned     56,854,867       56,854,867   56,854,867
Ownership percentage 28.40%   27.70%       27.70%   27.70%
Period of reporting lag             2 months    
Equity earnings (losses)       $ (1,373)          
Equity investment, exceeded its proportionate share of net assets     $ 4,200       $ 4,200    
AmerisourceBergen | Opiod Litigation                  
Schedule of Equity Method Investments [Line Items]                  
Equity earnings (losses)         $ (5,600)        
AmerisourceBergen | Level 1                  
Schedule of Equity Method Investments [Line Items]                  
Fair market value of equity investment     6,500       6,500    
Other Investments                  
Schedule of Equity Method Investments [Line Items]                  
Equity earnings (losses)     575     $ 6 604 $ 5  
Option Care Health                  
Schedule of Equity Method Investments [Line Items]                  
Equity earnings (losses)     576            
Gain on sale of equity method investment     98       290    
Option Care Health | HC Group Holdings I, LLC                  
Schedule of Equity Method Investments [Line Items]                  
Gain on sale of equity method investment     1,200            
VillageMD                  
Schedule of Equity Method Investments [Line Items]                  
Consideration transferred to acquire equity method investments             750    
Payments to acquire equity method investments             250    
Convertible debt     $ 500       $ 500