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Convertible Senior Notes (Details) (USD $)
12 Months Ended
Dec. 31, 2014
D
Dec. 31, 2013
Jun. 30, 2012
Jun. 29, 2012
Debt Instrument [Line Items]        
Senior notes $ 246,676,000us-gaap_SeniorNotes $ 236,088,000us-gaap_SeniorNotes    
Trading period 20us-gaap_DebtInstrumentConvertibleThresholdTradingDays      
Consecutive trading period 30 days      
Percent of conversion price 130.00%mdco_DebtInstrumentCovenantPercentOfConversionPrice      
Measurement period 5 days      
Principal amount in covenant 1,000mdco_DebtInstrumentCovenantPrincipalAmount      
Percent of trading price (less than) 98.00%mdco_DebtInstrumentCovenantPercentOfTradingPrice      
Conversion ratio 35.8038us-gaap_DebtInstrumentConvertibleConversionRatio1      
Conversion price $ 27.93us-gaap_DebtInstrumentConvertibleConversionPrice1      
Percent of principal amount plus accrued and unpaid interest 100.00%mdco_DebtInstrumentCovenantPercentOfPrincipalAmountPlusAccruedAndUnpaidInterest      
Percent of principal amount 25.00%mdco_DebtInstrumentCovenantPercentOfPrincipalAmount      
Percent of principal amount, plus accrued and unpaid interest, due and payable 100.00%mdco_DebtInstrumentCovenantPercentOfPrincipalAmountPlusAccruedAndUnpaidInterestDueAndPayable      
Percent of principal amount, plus accrued and unpaid interest, due and payable if bankruptcy, insolvency or reorganization occurs 100.00%mdco_DebtInstrumentCovenantPercentOfPrincipalAmountPlusAccruedAndUnpaidInterestDueAndPayableIfBankruptcyInsolvencyOrReorganization      
Initial discount amortization period 5 years      
Deferred tax asset 1,500,000us-gaap_DeferredTaxAssetsHedgingTransactions      
Convertible Debt [Member]        
Debt Instrument [Line Items]        
Senior notes     275,000,000us-gaap_SeniorNotes
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_ConvertibleDebtMember
275,000,000us-gaap_SeniorNotes
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_ConvertibleDebtMember
Interest rate     1.375%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_ConvertibleDebtMember
 
Proceeds from offering $ 266,200,000us-gaap_ProceedsFromIssuanceOfLongTermDebt
/ us-gaap_LongtermDebtTypeAxis
= us-gaap_ConvertibleDebtMember