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Property and Equipment, Net - Schedule of Property and Equipment, Net (Detail) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2014
Dec. 31, 2013
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 50,856us-gaap_PropertyPlantAndEquipmentGross $ 22,398us-gaap_PropertyPlantAndEquipmentGross
Less: Accumulated depreciation (9,695)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment (5,363)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
Total 41,161us-gaap_PropertyPlantAndEquipmentNet 17,035us-gaap_PropertyPlantAndEquipmentNet
Build-to-suit property [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 19,544us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= mdvn_BuildToSuitPropertyMember
 
Leasehold improvements [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 15,051us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_LeaseholdImprovementsMember
12,034us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_LeaseholdImprovementsMember
Computer equipment and software [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 9,499us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= mdvn_ComputerEquipmentAndSoftwareMember
4,503us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= mdvn_ComputerEquipmentAndSoftwareMember
Furniture and fixtures [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 4,667us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_FurnitureAndFixturesMember
3,981us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_FurnitureAndFixturesMember
Construction in progress [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 1,360us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_ConstructionInProgressMember
1,177us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_ConstructionInProgressMember
Laboratory equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 735us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= mdvn_LaboratoryEquipmentMember
$ 703us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= mdvn_LaboratoryEquipmentMember