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Stockholders' Equity - Additional Information (Detail) (USD $)
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Dec. 04, 2006
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Maximum percentage before exercise       20.00%mdvn_StockPurchaseRightsAcquisitionPercentageBeforeExercise
Total fair value of restricted stock units vested $ 7,000,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue $ 11,800,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue $ 6,200,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue  
Total fair market value of performance share awards that are vested during the period     4,700,000us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardEquityInstrumentsOtherThanOptionsAggregateIntrinsicValueVested  
Employees share purchase plan, fair market value of common stock at beginning of offering period   85.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardDiscountFromMarketPriceOfferingDate    
Employees share purchase plan, fair market value of common stock at end of purchase period   85.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardDiscountFromMarketPricePurchaseDate    
Eligible employee contributions   25,000mdvn_MaximumAnnualEmployeeContributionToEmployeeStockPurchasePlan    
Shares reserved for issuance 34,696us-gaap_CommonStockCapitalSharesReservedForFutureIssuance      
Shares issued in period 90,067us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardSharesIssuedInPeriod      
Employee withholdings for ESPP shares 1,500,000mdvn_AccruedEmployeeStockPurchasePlanContributions      
Expected dividend yield 0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate      
Unrecognized stock-based compensation expense 77,800,000us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized      
Unrecognized stock-based compensation expense, weighted-average period for recognition 2 years 4 months 2 days      
Warrants to purchase aggregate shares of common stock, Exercised 25,808mdvn_ClassOfWarrantOrRightNumberOfWarrantsExercised      
Common stock, Exercise price per share $ 0.78mdvn_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRightsExercised      
Warrants to purchase aggregate shares of common stock, Outstanding 20,000us-gaap_ClassOfWarrantOrRightOutstanding      
Common stock, Exercise price per share, Outstanding $ 6.93us-gaap_ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1      
Warrants expiration date 2017      
Upside Case Achievement [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Performance shares eligible to be earned     83,332us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod
/ us-gaap_DeferredCompensationArrangementWithIndividualShareBasedPaymentsByTypeOfDeferredCompensationAxis
= mdvn_UpsideCaseAchievementMember
 
Stock options [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share-based payments award, expiration term 10 years      
Share-based payment awards, vesting period 4 years      
Restricted stock units [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Performance shares eligible to be earned 134,865us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockUnitsRSUMember
     
Performance share awards outstanding 483,580us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockUnitsRSUMember
311,347us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockUnitsRSUMember
   
Stock appreciation rights granted 399,102us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
/ us-gaap_AwardTypeAxis
= us-gaap_RestrictedStockUnitsRSUMember
     
Performance shares [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Performance share awards outstanding 0us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
/ us-gaap_AwardTypeAxis
= us-gaap_PerformanceSharesMember
0us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
/ us-gaap_AwardTypeAxis
= us-gaap_PerformanceSharesMember
   
Performance shares [Member] | Upside Case Achievement [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Performance share awards canceled during period     41,668mdvn_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsCancelled
/ us-gaap_AwardTypeAxis
= us-gaap_PerformanceSharesMember
/ us-gaap_DeferredCompensationArrangementWithIndividualShareBasedPaymentsByTypeOfDeferredCompensationAxis
= mdvn_UpsideCaseAchievementMember
 
Stock appreciation rights [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Total fair value of restricted stock units vested 6,834,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
/ us-gaap_AwardTypeAxis
= us-gaap_StockAppreciationRightsSARSMember
9,955,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
/ us-gaap_AwardTypeAxis
= us-gaap_StockAppreciationRightsSARSMember
4,307,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
/ us-gaap_AwardTypeAxis
= us-gaap_StockAppreciationRightsSARSMember
 
Total fair market value of performance share awards that are vested during the period $ 37,900,000us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardEquityInstrumentsOtherThanOptionsAggregateIntrinsicValueVested
/ us-gaap_AwardTypeAxis
= us-gaap_StockAppreciationRightsSARSMember
     
Stock appreciation rights granted 0us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
/ us-gaap_AwardTypeAxis
= us-gaap_StockAppreciationRightsSARSMember
0us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
/ us-gaap_AwardTypeAxis
= us-gaap_StockAppreciationRightsSARSMember
   
Stock options and stock appreciation rights to employees and directors [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Stock appreciation rights granted 0us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
/ us-gaap_AwardTypeAxis
= mdvn_StockOptionAndStockAppreciationRightsMember
0us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
/ us-gaap_AwardTypeAxis
= mdvn_StockOptionAndStockAppreciationRightsMember
   
Expected dividend yield 0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
/ us-gaap_AwardTypeAxis
= mdvn_StockOptionAndStockAppreciationRightsMember
0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
/ us-gaap_AwardTypeAxis
= mdvn_StockOptionAndStockAppreciationRightsMember
0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
/ us-gaap_AwardTypeAxis
= mdvn_StockOptionAndStockAppreciationRightsMember
 
Annual non-employee directors grants [Member] | Stock options [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share-based payment awards, vesting period 1 year      
Annual non-employee directors grants [Member] | Restricted stock units [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share-based payment awards, vesting period, descriptions Restricted stock units generally vest in three equal installments on approximately the first, second and third anniversaries of the grant date, except for annual restricted stock unit grants to non-employee directors, which vest on approximately the first anniversary of the grant date.      
Equity Incentive Plan [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Number of shares authorized for issuance 21,150,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized
/ us-gaap_EmployeeStockOwnershipPlanESOPDisclosuresByPlanAxis
= mdvn_EquityIncentivePlanMember
     
Number of shares available for issuance 2,700,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
/ us-gaap_EmployeeStockOwnershipPlanESOPDisclosuresByPlanAxis
= mdvn_EquityIncentivePlanMember
     
ESPP [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Number of shares authorized for issuance 3,000,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized
/ us-gaap_PlanNameAxis
= mdvn_EmployeeStockPurchasePlanMember
     
Expected dividend yield 0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
/ us-gaap_PlanNameAxis
= mdvn_EmployeeStockPurchasePlanMember
0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
/ us-gaap_PlanNameAxis
= mdvn_EmployeeStockPurchasePlanMember
   
Employee stock purchase plan offerings     0mdvn_EmployeeStockPurchasePlanSharesAvailableForIssuance
/ us-gaap_PlanNameAxis
= mdvn_EmployeeStockPurchasePlanMember