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Exit and disposal activities - Narrative (Details)
$ in Millions
3 Months Ended
Oct. 14, 2024
store
Nov. 30, 2024
USD ($)
store
clinic
Nov. 30, 2023
USD ($)
clinic
Restructuring Cost and Reserve [Line Items]      
Costs   $ 333 $ 0
Footprint Optimization Program      
Restructuring Cost and Reserve [Line Items]      
Future cash expenditures, percent   0.90  
Costs   $ 333  
Footprint Optimization Program | Lease obligations and other real estate costs      
Restructuring Cost and Reserve [Line Items]      
Costs   164  
Footprint Optimization Program | Asset impairments      
Restructuring Cost and Reserve [Line Items]      
Expected cost   300  
Costs   127  
Footprint Optimization Program | Employee Severance and Business Transition Costs      
Restructuring Cost and Reserve [Line Items]      
Expected cost   100  
Costs   $ 42  
Footprint Optimization Program And Transformational Cost Management      
Restructuring Cost and Reserve [Line Items]      
Number of stores closed | store   83  
Other Exit Plans      
Restructuring Cost and Reserve [Line Items]      
Number of clinics closed | clinic   23 70
Impairment   $ 0 $ 124
Minimum | Footprint Optimization Program      
Restructuring Cost and Reserve [Line Items]      
Number of stores expected to close | store 900    
Expected cost   2,200  
Minimum | Footprint Optimization Program | Lease obligations and other real estate costs      
Restructuring Cost and Reserve [Line Items]      
Expected cost   $ 1,800  
Minimum | Footprint Optimization Program And Transformational Cost Management      
Restructuring Cost and Reserve [Line Items]      
Number of stores expected to close | store   1,200  
Maximum | Footprint Optimization Program      
Restructuring Cost and Reserve [Line Items]      
Number of stores expected to close | store 1,000    
Expected cost   $ 2,400  
Maximum | Footprint Optimization Program | Lease obligations and other real estate costs      
Restructuring Cost and Reserve [Line Items]      
Expected cost   $ 2,000  
Maximum | Footprint Optimization Program And Transformational Cost Management      
Restructuring Cost and Reserve [Line Items]      
Number of stores expected to close | store   1,300