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Description of Business - Additional Information (Detail) (USD $)
3 Months Ended 31 Months Ended
Mar. 31, 2015
Mar. 31, 2015
Dec. 31, 2014
Organization And Description Of Business [Line Items]      
Cumulative net losses $ (60,827,000)us-gaap_RetainedEarningsAccumulatedDeficit $ (60,827,000)us-gaap_RetainedEarningsAccumulatedDeficit $ (57,709,000)us-gaap_RetainedEarningsAccumulatedDeficit
Debt instrument, interest rate 2.625%us-gaap_DebtInstrumentInterestRateStatedPercentage 2.625%us-gaap_DebtInstrumentInterestRateStatedPercentage  
Convertible Notes, maturity date Apr. 01, 2017    
Astellas Pharma Inc. [Member] | Milestone and cost-sharing payments [Member]      
Organization And Description Of Business [Line Items]      
Remaining sales milestone payments may receive 245,000,000mdvn_RemainingFutureSalesMilestonePaymentsEligibleToReceiveUnderCollaborationArrangements
/ us-gaap_DeferredRevenueArrangementTypeAxis
= mdvn_MilestonePaymentsMember
/ dei_LegalEntityAxis
= mdvn_AstellasPharmaIncMember
   
XTANDI [Member]      
Organization And Description Of Business [Line Items]      
Number of commercial products 1mdvn_NumberOfCommercialProducts
/ us-gaap_TypeOfArrangementAxis
= us-gaap_CollaborativeArrangementProductAgreementMember
1mdvn_NumberOfCommercialProducts
/ us-gaap_TypeOfArrangementAxis
= us-gaap_CollaborativeArrangementProductAgreementMember
 
XTANDI [Member] | Astellas Pharma Inc. [Member]      
Organization And Description Of Business [Line Items]      
World wide net sales   $ 1,900,000,000mdvn_WorldWideNetSalesOfXtandiSinceLaunch
/ dei_LegalEntityAxis
= mdvn_AstellasPharmaIncMember
/ us-gaap_TypeOfArrangementAxis
= us-gaap_CollaborativeArrangementProductAgreementMember
 
Collaborative agreement [Member] | Astellas Pharma Inc. [Member]      
Organization And Description Of Business [Line Items]      
Range of percentage rates for royalties received on ex-U.S. net sales, as defined by collaboration agreement Low teens to the low twenties