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Equity method investments - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended
Nov. 30, 2021
Nov. 30, 2020
Sep. 30, 2020
Aug. 31, 2021
Schedule of Equity Method Investments [Line Items]        
Equity earnings (losses) $ 93 $ (1,350)    
AmerisourceBergen        
Schedule of Equity Method Investments [Line Items]        
Outstanding shares owned (in shares) 58,854,867     58,854,867
Ownership percentage 28.30%     28.30%
Period of reporting lag 2 months      
Equity earnings (losses) $ 100 (1,400)    
Equity investment, exceeded its proportionate share of net assets 4,300      
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 6,800     $ 7,200
Other Investments        
Schedule of Equity Method Investments [Line Items]        
Equity earnings (losses) (7) $ 15    
VillageMD        
Schedule of Equity Method Investments [Line Items]        
Gain on sale of equity method investment $ 2,174