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Income Taxes - Narrative (Details)
€ in Millions
12 Months Ended 24 Months Ended
Jan. 20, 2022
USD ($)
Oct. 05, 2021
USD ($)
Oct. 05, 2021
EUR (€)
Sep. 29, 2021
EUR (€)
Jan. 13, 2021
USD ($)
Dec. 19, 2020
USD ($)
May 07, 2020
USD ($)
Aug. 15, 2017
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2012
USD ($)
Dec. 31, 2011
USD ($)
Dec. 31, 2010
USD ($)
Dec. 31, 2009
USD ($)
Dec. 31, 2020
USD ($)
Dec. 28, 2022
USD ($)
Aug. 22, 2019
USD ($)
Apr. 26, 2019
USD ($)
Operating Loss Carryforwards [Line Items]                                      
Increase (decrease) in valuation allowance                 $ (56,200,000) $ 35,900,000                  
Release deferred tax assets                 51,500,000   $ 51,500,000                
Undistributed earnings of foreign subsidiaries                 400,000                    
Undistributed earnings of foreign subsidiaries                 3,300,000                    
Unrecognized tax benefits liability, interest and penalties accrued                 85,800,000 105,100,000 108,900,000         $ 108,900,000      
Unrecognized tax benefits that would impact effective tax rate                 217,000,000 $ 240,100,000 250,200,000         250,200,000      
Income tax examination, penalties and interest expense               $ 134,100,000       $ 24,700,000 $ 40,100,000 $ 41,800,000 $ 27,500,000        
Cumulative deferred charge related to tax litigation                 $ 111,600,000                    
Royalty conceded on all omeprazole sales as a percent of refund claims (percent)                 5.24%                    
IRS Notice of Proposed Audit Adjustment from 2013, 2014 and 2015         $ 141,600,000                            
IRS Notice of Proposed Audit Adjustment for ANDA from 2013, 2014, and 2015         21,900,000                            
Income tax examination, debts subject to limit of deductibility of interest expense                                   $ 7,500,000,000  
Interest rate cap on debts for U.S. tax purposes, as percent of applicable Federal rate             130.00%                        
Income tax examination, reduction in blended interest rate due to cap for U.S. Federal tax purposes             4.00%                        
IRS notice of proposed audit adjustment to reduce deductible interest expense for fiscal years 2014 and 2015             $ 414,700,000                        
Blended interest rate proposed 4.36%                                    
Blended interest rate in RAR 2.57%                                    
Stated blended interest rate on debt 6.80%                                    
Income tax examination, estimated increase to tax expense from audit adjustment to fiscal years 2014 and 2015, excluding interest and penalties $ 72,900,000                                    
Income tax examination, estimate of additional tax $ 58,500,000                                    
IRS notice of proposed audit adjustment, increase to gross sales revenue           $ 99,500,000                          
Required payment from ITA                                 $ 8,300,000    
IRS notice of proposed audit adjustment from 2011, 2012, and 2013 audit of Athena, including penalty                                     $ 843,000,000
IRS notice of proposed adjustment, penalty (percent)                                     40.00%
Payment of assessment due before final determination of tax case and appeal                 $ 0                    
Unrecognized tax benefits, period decrease                 38,300,000                    
Reduction of income tax expense due to enactment of the CARES Act                               $ 36,600,000      
Reduction of income tax expense due to change In IRS regulations                     $ 8,900,000                
Latin America Businesses                                      
Operating Loss Carryforwards [Line Items]                                      
Undistributed earnings of foreign subsidiaries                 3,800,000                    
Expire Through Tax Year 2040                                      
Operating Loss Carryforwards [Line Items]                                      
Tax credit carryforwards                 35,700,000                    
Net operating loss carryforwards                 334,900,000                    
No Expiration                                      
Operating Loss Carryforwards [Line Items]                                      
State tax credit carryforwards                 9,000,000                    
U.S. interest carryforward                 58,400,000                    
No Expiration | U.S. Federal and Non-U.S.                                      
Operating Loss Carryforwards [Line Items]                                      
Net operating loss carryforwards                 1,300,000,000                    
Minimum                                      
Operating Loss Carryforwards [Line Items]                                      
Income tax examination, estimate of additional tax         24,000,000                            
Maximum                                      
Operating Loss Carryforwards [Line Items]                                      
Income tax examination, estimate of additional tax         $ 112,000,000                            
Irish Revenue                                      
Operating Loss Carryforwards [Line Items]                                      
Settlement amount | €       € 297.0                              
Taxes paid   $ 307,500,000 € 266.1                                
Israel Tax Authority                                      
Operating Loss Carryforwards [Line Items]                                      
Required payment from ITA                 19,000,000                    
Offset of refunds, amount                 17,200,000                    
Decrease in tax liability due to payment                 $ 12,500,000