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Derivative instruments and hedging activities - Summary of Classification and Fair Values of Derivative Instruments (Detail) - USD ($) $ in Millions | Sep. 30, 2023 | Dec. 31, 2022
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Designated as Hedging Instrument [Member] | Foreign Exchange Contract [Member] | Other Current Assets [Member] |  |  |
Derivative [Line Items] |  |  |
Asset derivatives |  | $ 0 | $ 0
Designated as Hedging Instrument [Member] | Foreign Exchange Contract [Member] | Other Current Liabilities [Member] |  |  |
Derivative [Line Items] |  |  |
Liability derivatives |  | 0 | 0
Designated as Hedging Instrument [Member] | Cross Currency Swap Cash Flow Hedge [Member] | Other Non-current Assets [Member] |  |  |
Derivative [Line Items] |  |  |
Asset derivatives | [1] | 14 | 0
Designated as Hedging Instrument [Member] | Conversion Option [Member] |  |  |
Derivative [Line Items] |  |  |
Asset derivatives |  | 0 | 0
Not Designated as Hedging Instrument [Member] | Foreign Exchange Contract [Member] | Other Current Assets [Member] |  |  |
Derivative [Line Items] |  |  |
Asset derivatives |  | 44 | 29
Not Designated as Hedging Instrument [Member] | Foreign Exchange Contract [Member] | Other Current Liabilities [Member] |  |  |
Derivative [Line Items] |  |  |
Liability derivatives |  | (40) | (101)
Not Designated as Hedging Instrument [Member] | Cross Currency Swap Cash Flow Hedge [Member] | Other Non-current Assets [Member] |  |  |
Derivative [Line Items] |  |  |
Asset derivatives | [1] | 0 | 0
Not Designated as Hedging Instrument [Member] | Conversion Option [Member] |  |  |
Derivative [Line Items] |  |  |
Asset derivatives |  | $ 15 | $ 0
[1] | On March 31, 2023, Teva entered into a cross-currency interest rate swap agreement, designated as cash flow hedge for accounting purposes with respect to an intercompany loan due October 2026, denominated in Japanese yen.

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