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Acquisitions and other investments - Schedule of Pro Forma and Actual Information (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
May 31, 2023
May 31, 2022
May 31, 2023
May 31, 2022
Summit Health-CityMD        
Business Acquisition [Line Items]        
Sales, pro forma $ 35,415 $ 33,303 $ 104,630 $ 102,228
Sales, actual $ 730   $ 1,193  
VillageMD, Shields And CareCentrix        
Business Acquisition [Line Items]        
Sales, pro forma   32,910   101,537
Sales, actual   $ 596   $ 1,173