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Segment reporting - results of operations of reportable segments (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Aug. 31, 2021
May 31, 2021
Feb. 28, 2021
Nov. 30, 2020
Aug. 31, 2020
May 31, 2020
Feb. 29, 2020
Nov. 30, 2019
Aug. 31, 2021
Aug. 31, 2020
Aug. 31, 2019
Segment Reporting Information, Operating Income (Loss) [Abstract]                      
Sales $ 34,262 $ 34,030 $ 32,779 $ 31,438 $ 30,371 $ 30,364 $ 31,336 $ 29,912 $ 132,509 $ 121,982 $ 120,074
Adjusted operating income                 5,117 4,730 6,481
Depreciation and amortization                 1,923 1,786 1,894
Capital expenditures                 1,312 1,287 1,598
Adjustments to equity earnings (loss) in AmerisourceBergen                 (1,645) (97) (233)
Transformational cost management                 (417) (719) (327)
Acquisition-related amortization                 (523) (384) (416)
Certain legal and regulatory accruals and settlements                 (75) 0 (31)
LIFO provision                 (13) (95) (136)
Acquisition-related costs                 (54) (315) (303)
Impairment of goodwill and intangible assets                 (49) (2,016) (73)
Store optimization                 0 (53) (196)
Store damage and inventory losses                 0 (68) 0
Operating income                 2,342 982 4,766
Reportable Segments | United States                      
Segment Reporting Information, Operating Income (Loss) [Abstract]                      
Sales                 112,005 107,701 104,532
Adjusted operating income                 5,019 4,761 5,873
Depreciation and amortization                 1,513 1,376 1,454
Capital expenditures                 1,030 1,040 1,318
Reportable Segments | International                      
Segment Reporting Information, Operating Income (Loss) [Abstract]                      
Sales                 20,505 14,281 15,542
Adjusted operating income                 466 157 759
Depreciation and amortization                 399 400 433
Capital expenditures                 243 235 272
Corporate and Other                      
Segment Reporting Information, Operating Income (Loss) [Abstract]                      
Adjusted operating income                 (368) (187) (152)
Depreciation and amortization                 11 10 8
Capital expenditures                 $ 39 $ 12 $ 8