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Stockholders' Equity - Additional Information (Detail) (USD $)
3 Months Ended
Mar. 31, 2015
Dec. 04, 2006
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]    
Maximum percentage before exercise   20.00%mdvn_StockPurchaseRightsAcquisitionPercentageBeforeExercise
Weighted-average grant-date fair value per share $ 51.07us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue  
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 issued in period 123,680us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardSharesIssuedInPeriod  
Unrecognized stock-based compensation expense $ 104,300,000us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized  
Unrecognized stock-based compensation expense, weighted-average period for recognition 2 years 8 months 12 days  
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
 
Employee stock purchase plan offerings 0mdvn_EmployeeStockPurchasePlanSharesAvailableForIssuance
/ us-gaap_PlanNameAxis
= mdvn_EmployeeStockPurchasePlanMember
 
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 2,000,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
/ us-gaap_EmployeeStockOwnershipPlanESOPDisclosuresByPlanAxis
= mdvn_EquityIncentivePlanMember