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Income Taxes - Narrative (Details)
€ in Millions, $ in Millions
12 Months Ended
May 05, 2023
USD ($)
Jan. 20, 2022
Oct. 05, 2021
USD ($)
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, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2012
USD ($)
Dec. 31, 2011
USD ($)
Dec. 31, 2010
USD ($)
Dec. 31, 2009
USD ($)
Dec. 28, 2022
USD ($)
Aug. 22, 2019
USD ($)
Apr. 26, 2019
USD ($)
Operating Loss Carryforwards [Line Items]                                      
Increase (decrease) in valuation allowance                   $ 46.4 $ (56.2) $ 35.9              
Undistributed earnings of foreign subsidiaries                   0.4                  
Undistributed earnings of foreign subsidiaries                   3.5                  
Unrecognized tax benefits liability, interest and penalties accrued                   74.9 85.8 105.1              
Unrecognized tax benefits that would impact effective tax rate                   185.2 217.0 240.1              
Income tax examination, penalties and interest expense                 $ 134.1       $ 24.7 $ 40.1 $ 41.8 $ 27.5      
Cumulative deferred charge related to tax litigation                   $ 113.3                  
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           $ 141.6                          
IRS Notice of Proposed Audit Adjustment for ANDA from 2013, 2014, and 2015           21.9                          
Income tax examination, debts subject to limit of deductibility of interest expense                                   $ 7,500.0  
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               $ 414.7                      
Blended interest rate proposed 5.44% 4.36%                                  
Blended interest rate in RAR   2.57%                                  
Stated blended interest rate on debt   6.80%                                  
Income tax examination, interest expense (reduction) $ (153.4)                                    
IRS notice of proposed audit adjustment, increase to gross sales revenue             $ 99.5                        
Required payment from ITA                                 $ 8.3    
IRS notice of proposed audit adjustment from 2011, 2012, and 2013 audit of Athena, including penalty                                     $ 843.0
IRS notice of proposed adjustment, penalty (percent)                                     40.00%
Unrecognized tax benefits, period decrease                   $ (104.9) $ (17.1) 38.3              
Latin America Businesses                                      
Operating Loss Carryforwards [Line Items]                                      
Undistributed earnings of foreign subsidiaries                   3.1                  
Minimum                                      
Operating Loss Carryforwards [Line Items]                                      
Income tax examination, estimate of additional tax           25.0                          
Maximum                                      
Operating Loss Carryforwards [Line Items]                                      
Income tax examination, estimate of additional tax           $ 124.0                          
Irish Revenue                                      
Operating Loss Carryforwards [Line Items]                                      
Settlement amount | €         € 297.0                            
Taxes paid     $ 307.5 € 266.1                              
Israel Tax Authority                                      
Operating Loss Carryforwards [Line Items]                                      
Required payment from ITA                       19.0              
Offset of refunds, amount                       17.2              
Decrease in tax liability due to payment                       $ 12.5              
Expire Through Tax Year 2043                                      
Operating Loss Carryforwards [Line Items]                                      
Tax credit carryforwards                   27.2                  
Net operating loss carryforwards                   615.2                  
No Expiration                                      
Operating Loss Carryforwards [Line Items]                                      
State tax credit carryforwards                   6.7                  
Interest carryforward                   218.0                  
No Expiration | U.S. Federal and Non-U.S.                                      
Operating Loss Carryforwards [Line Items]                                      
Net operating loss carryforwards                   $ 1,400.0