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Collaboration Agreements - Schedule of Collaboration Revenue (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2014
Sep. 30, 2014
Jun. 30, 2014
Mar. 31, 2014
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Organization, Consolidation and Presentation of Financial Statements [Abstract]                      
Related to U.S. XTANDI sales                 $ 339,902mdvn_CollaborationRevenueAttributableToUnitedStatesXtandiSales $ 196,208mdvn_CollaborationRevenueAttributableToUnitedStatesXtandiSales $ 35,752mdvn_CollaborationRevenueAttributableToUnitedStatesXtandiSales
Related to ex-U.S. XTANDI sales                 49,476mdvn_CollaborationRevenueRelatedToExUsXtandiSales 6,338mdvn_CollaborationRevenueRelatedToExUsXtandiSales  
Related to upfront and milestone payments                 321,109mdvn_CollaborationRevenueRelatedToUpFrontAndMilestonePayments 70,396mdvn_CollaborationRevenueRelatedToUpFrontAndMilestonePayments 145,944mdvn_CollaborationRevenueRelatedToUpFrontAndMilestonePayments
Collaboration revenue $ 274,730mdvn_CollaborationRevenue $ 200,478mdvn_CollaborationRevenue $ 148,090mdvn_CollaborationRevenue $ 87,189mdvn_CollaborationRevenue $ 96,612mdvn_CollaborationRevenue $ 60,027mdvn_CollaborationRevenue $ 70,149mdvn_CollaborationRevenue $ 46,154mdvn_CollaborationRevenue $ 710,487mdvn_CollaborationRevenue $ 272,942mdvn_CollaborationRevenue $ 181,696mdvn_CollaborationRevenue