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Segment reporting (Details)
$ in Millions
3 Months Ended 9 Months Ended
May 31, 2025
USD ($)
May 31, 2024
USD ($)
May 31, 2025
USD ($)
segment
May 31, 2024
USD ($)
Segment Reporting [Abstract]        
Number of reportable segments | segment     3  
Segment Reporting Information [Line Items]        
Sales $ 38,986 $ 36,351 $ 117,034 $ 110,111
Adjusted operating income (Non-GAAP measure) 558 613 1,936 2,200
Acquisition-related amortization (226) (266) (746) (811)
Impairment of goodwill, intangibles and long-lived assets (89) 0 (5,432) (13,091)
Footprint optimization (73) 0 (473) 0
Acquisition and disposition-related costs (62) (68) (260) (480)
Certain legal and regulatory accruals and settlements (49) (52) (656) (376)
Adjustments to equity earnings in Cencora (13) (57) (122) (129)
Transformational cost management (3) (95) 9 (401)
LIFO provision 10 36 (14) (11)
Operating income (loss) 53 111 (5,759) (13,099)
Reportable Segments | U.S. Retail Pharmacy        
Segment Reporting Information [Line Items]        
Sales 30,715 28,503 91,961 86,308
Adjusted operating income (Non-GAAP measure) 350 501 1,278 1,947
Reportable Segments | International        
Segment Reporting Information [Line Items]        
Sales 6,172 5,727 18,657 17,581
Adjusted operating income (Non-GAAP measure) 214 175 615 562
Reportable Segments | U.S. Healthcare        
Segment Reporting Information [Line Items]        
Sales 2,102 2,125 6,427 6,232
Adjusted operating income (Non-GAAP measure) 54 (22) 196 (151)
Reportable Segments | Pharmacy | U.S. Retail Pharmacy        
Segment Reporting Information [Line Items]        
Sales 24,381 21,812 72,524 65,704
Reportable Segments | Pharmacy | International        
Segment Reporting Information [Line Items]        
Sales 913 874 2,662 2,698
Reportable Segments | Retail | U.S. Retail Pharmacy        
Segment Reporting Information [Line Items]        
Sales 6,334 6,691 19,437 20,604
Reportable Segments | Retail | International        
Segment Reporting Information [Line Items]        
Sales 1,976 1,839 6,274 5,928
Reportable Segments | Wholesale | International        
Segment Reporting Information [Line Items]        
Sales 3,283 3,014 9,721 8,955
Corporate and Other        
Segment Reporting Information [Line Items]        
Sales (4) (3) (12) (9)
Adjusted operating income (Non-GAAP measure) $ (60) $ (42) $ (152) $ (158)