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Equity method investments - Narrative (Details) - USD ($)
shares in Millions, $ in Millions
3 Months Ended 6 Months Ended
Mar. 03, 2023
Dec. 15, 2022
Dec. 13, 2022
Nov. 10, 2022
Feb. 28, 2023
Nov. 30, 2021
Feb. 28, 2023
Feb. 28, 2022
Aug. 31, 2022
Schedule of Equity Method Investments [Line Items]                  
Gain on sale of equity method investments             $ 1,512 $ 0  
Impairment of equity method investments and investments in equity securities             $ 8 $ 190  
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           $ 2,200      
Impairment of equity method investments and investments in equity securities         $ 124        
AmerisourceBergen                  
Schedule of Equity Method Investments [Line Items]                  
Outstanding shares owned (in shares)         33.7   33.7   52.9
Ownership percentage         16.70%   16.70%   25.40%
Number of shares sold (in shares)     6.0 13.2          
Proceeds from sale of equity method investments     $ 984 $ 2,000          
Gain on sale of equity method investments     492 969          
Other comprehensive (loss) income before reclassification adjustments     $ 40 $ (110)          
Period of reporting lag             2 months    
Equity investment, exceeded its proportionate share of net assets         $ 2,600   $ 2,600    
AmerisourceBergen | Level 1                  
Schedule of Equity Method Investments [Line Items]                  
Fair market value of equity investment         $ 5,200   $ 5,200   $ 7,700
Guangzhou Pharmaceuticals                  
Schedule of Equity Method Investments [Line Items]                  
Proceeds from sale of equity method investments   $ 150              
Option Care Health                  
Schedule of Equity Method Investments [Line Items]                  
Percentage of outstanding common stock         14.40%   14.40%    
Option Care Health | Subsequent Event                  
Schedule of Equity Method Investments [Line Items]                  
Number of shares sold (in shares) 13.0                
Proceeds from sale of equity method investments $ 469                
Percentage of outstanding common stock 6.00%                
Option Care Health | Subsequent Event | Option Care Health                  
Schedule of Equity Method Investments [Line Items]                  
Share repurchase option (in shares) 2.5