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Equity method investments - Narrative (Details) - USD ($)
shares in Millions, $ in Millions
3 Months Ended
Dec. 15, 2022
Dec. 13, 2022
Nov. 10, 2022
Nov. 24, 2021
Nov. 30, 2022
Nov. 30, 2021
Jan. 05, 2023
Aug. 31, 2022
Schedule of Equity Method Investments [Line Items]                
Gain on sale of equity method investments         $ 969 $ 0    
Equity earnings (loss)         $ 61 93    
Shields Health Solutions Parent, LLC                
Schedule of Equity Method Investments [Line Items]                
Gain on sale of equity method investments           402    
VillageMD                
Schedule of Equity Method Investments [Line Items]                
Gain on sale of equity method investments       $ 1,597   2,200    
AmerisourceBergen                
Schedule of Equity Method Investments [Line Items]                
Ownership percentage         19.60%     25.40%
Number of shares sold (in shares)     13.2          
Proceeds from Sale of Equity Method Investments     $ 2,000          
Outstanding shares owned (in shares)         39.6     52.9
Gain on sale of equity method investments     969          
Other comprehensive (loss) income before reclassification adjustments     $ (110)          
Period of reporting lag         2 months      
Equity earnings (loss)         $ 53 100    
Equity investment, exceeded its proportionate share of net assets         2,900      
AmerisourceBergen | Subsequent Event                
Schedule of Equity Method Investments [Line Items]                
Ownership percentage             16.70%  
Number of shares sold (in shares)   6.0            
Proceeds from Sale of Equity Method Investments   $ 984            
Outstanding shares owned (in shares)             33.7  
AmerisourceBergen | Level 1                
Schedule of Equity Method Investments [Line Items]                
Fair market value of equity investment         6,800     $ 7,700
Other Investments                
Schedule of Equity Method Investments [Line Items]                
Equity earnings (loss)         $ 7 $ (7)    
Guangzhou Pharmaceuticals | Subsequent Event                
Schedule of Equity Method Investments [Line Items]                
Proceeds from Sale of Equity Method Investments $ 150