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Goodwill (Tables) | 3 Months Ended
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Mar. 31, 2024
Summary of Changes in the Carrying Amount of Goodwill by Segment | Changes in the carrying amount of goodwill for the period ended March 31, 2024 were as follows:
|  | North America |  |  | United States |  |  | Europe |  |  | International Markets |  |  | Other |  |  | Total |
|  | Teva’s API |  |  | Medis |
|  |  |  |  | (U.S. $ in millions) |  |  |  |
Balance as of December 31, 2023 (1) |  | $ | 6,459 |  |  | $ | — |  |  | $ | 8,466 |  |  | $ | 675 |  |  | $ | 1,313 |  |  | $ | 265 |  |  | $ | 17,177 |
Goodwill allocation related to the shift of Canada to International Markets |  |  | (6,459 | ) |  |  | 5,813 |  |  |  | — |  |  |  | 646 |  |  |  | — |  |  |  | — |  |  |  | — |
Balance as of January 1, 2024 |  | $ | — |  |  | $ | 5,813 |  |  | $ | 8,466 |  |  | $ | 1,321 |  |  | $ | 1,313 |  |  | $ | 265 |  |  | $ | 17,177 |
Other changes during the period: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill reclassified as assets held for sale |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (48 | ) |  |  | — |  |  |  | — |  |  |  | (48 | )
Translation differences |  |  | — |  |  |  | — |  |  |  | (104 | ) |  |  | 6 |  |  |  | (14 | ) |  |  | (10 | ) |  |  | (122 | )
Balance as of March 31, 2024 (1) |  | $ | — |  |  | $ | 5,813 |  |  | $ | 8,362 |  |  | $ | 1,279 |  |  | $ | 1,299 |  |  | $ | 255 |  |  | $ | 17,007 |
(1) | Cumulative goodwill impairment as of March 31, 2024 and December 31, 2023 was approximately $28.3 billion.

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