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Property and Equipment, Net - Schedule of Property and Equipment, Net (Detail) (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2015
Dec. 31, 2014
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 53,257us-gaap_PropertyPlantAndEquipmentGross $ 50,856us-gaap_PropertyPlantAndEquipmentGross
Less: Accumulated depreciation (11,226)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment (9,695)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
Total 42,031us-gaap_PropertyPlantAndEquipmentNet 41,161us-gaap_PropertyPlantAndEquipmentNet
Build-to-suit property [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 20,071us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= mdvn_BuildToSuitPropertyMember
19,544us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= mdvn_BuildToSuitPropertyMember
Leasehold improvements [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 15,002us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_LeaseholdImprovementsMember
15,051us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_LeaseholdImprovementsMember
Computer equipment and software [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 9,976us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= mdvn_ComputerEquipmentAndSoftwareMember
9,499us-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
4,667us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_FurnitureAndFixturesMember
Construction in progress [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 2,806us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_ConstructionInProgressMember
1,360us-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
$ 735us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= mdvn_LaboratoryEquipmentMember