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Share-Based Compensation (Details) (USD $)
In Millions, except Share data, unless otherwise specified
12 Months Ended 0 Months Ended 1 Months Ended 0 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
May 30, 2013
May 31, 2014
May 31, 2000
Apr. 30, 1998
Feb. 28, 2009
Dec. 31, 2007
Apr. 30, 2004
May 31, 2001
Jun. 30, 2011
Jun. 30, 2010
Dec. 31, 2011
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Weighted average grant date fair aalue $ 12.34us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue $ 13.76us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue $ 8.95us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue                      
Intrinsic value, exercised in period $ 8.2us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue $ 43.5us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue $ 10.4us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue                      
Total unrecognized compensation costs related to non-vested share-based compensation. 33.6us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized                          
Weighted average period over which costs will be recognized 1 year 5 months 12 days                          
Plan 2013 [Member]                            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Stock option term 10 years                          
Periodic period for vesting term 3 years                          
Number of shares authorized       13,166,879us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized
/ us-gaap_PlanNameAxis
= mdco_Plan2013Member
                   
Common stock available for issuance       3,700,000us-gaap_CommonStockCapitalSharesReservedForFutureIssuance
/ us-gaap_PlanNameAxis
= mdco_Plan2013Member
                   
Number of shares in pool       1.7mdco_SharebasedCompensationArrangementbySharebasedPaymentAwardNumberofSharesCountedinSharePool
/ us-gaap_PlanNameAxis
= mdco_Plan2013Member
1.98mdco_SharebasedCompensationArrangementbySharebasedPaymentAwardNumberofSharesCountedinSharePool
/ us-gaap_PlanNameAxis
= mdco_Plan2013Member
                 
Vesting rights percentage 25.00%us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardAwardVestingRightsPercentage
/ us-gaap_PlanNameAxis
= mdco_Plan2013Member
                         
Vesting period 1 year                          
Initial grants to each director 320,000mdco_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsInitialGrantsToEachDirector
/ us-gaap_PlanNameAxis
= mdco_Plan2013Member
                         
Grants on date of annual meeting 215,000mdco_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsOnDateOfAnnualMeeting
/ us-gaap_PlanNameAxis
= mdco_Plan2013Member
                         
Grants to lead director 5,000mdco_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsToLeadDirector
/ us-gaap_PlanNameAxis
= mdco_Plan2013Member
                         
Number of vesting installments 36mdco_SharebasedCompensationArrangementbySharebasedPaymentAwardAwardVestingNumberofInstallments
/ us-gaap_PlanNameAxis
= mdco_Plan2013Member
                         
Plan 2009 [Member]                            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Stock option term 10 years                          
Periodic period for vesting term 3 years                          
Number of shares authorized               1,500,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized
/ us-gaap_PlanNameAxis
= mdco_Plan2009Member
           
Vesting rights percentage 25.00%us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardAwardVestingRightsPercentage
/ us-gaap_PlanNameAxis
= mdco_Plan2009Member
                         
Vesting period 1 year                          
Stock issued 69,671us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation
/ us-gaap_PlanNameAxis
= mdco_Plan2009Member
                         
Plan 2007 [Member]                            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Stock option term 10 years                          
Periodic period for vesting term 3 years                          
Number of shares authorized                 1,700,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized
/ us-gaap_PlanNameAxis
= mdco_Plan2007Member
         
Vesting rights percentage 25.00%us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardAwardVestingRightsPercentage
/ us-gaap_PlanNameAxis
= mdco_Plan2007Member
                         
Vesting period 1 year                          
Stock issued 24,700us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation
/ us-gaap_PlanNameAxis
= mdco_Plan2007Member
                         
Plan 2004 [Member]                            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Number of shares authorized                   13,900,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized
/ us-gaap_PlanNameAxis
= mdco_Plan2004Member
       
Vesting rights percentage 25.00%us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardAwardVestingRightsPercentage
/ us-gaap_PlanNameAxis
= mdco_Plan2004Member
                         
Recorded stock-based compensation expense 0.3us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_PlanNameAxis
= mdco_Plan2004Member
6.1us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_PlanNameAxis
= mdco_Plan2004Member
4.7us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_PlanNameAxis
= mdco_Plan2004Member
                     
Total unrecognized compensation costs related to non-vested share-based compensation. 6.4us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
/ us-gaap_PlanNameAxis
= mdco_Plan2004Member
                         
Weighted average period over which costs will be recognized 1 year 1 month 17 days                          
Shares vested in period, fair value 7.1us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
/ us-gaap_PlanNameAxis
= mdco_Plan2004Member
7.5us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
/ us-gaap_PlanNameAxis
= mdco_Plan2004Member
4.0us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
/ us-gaap_PlanNameAxis
= mdco_Plan2004Member
                     
Awarded 12,290,910us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod
/ us-gaap_PlanNameAxis
= mdco_Plan2004Member
                         
Options outstanding 5,294,384us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
/ us-gaap_PlanNameAxis
= mdco_Plan2004Member
                         
Plan 2001 [Member]                            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Options outstanding 11,500us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_PlanNameAxis
= mdco_Plan2001Member
                         
Number of shares authorized                     1,250,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized
/ us-gaap_PlanNameAxis
= mdco_Plan2001Member
     
Stock issued 1,099,241us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation
/ us-gaap_PlanNameAxis
= mdco_Plan2001Member
                         
ESPP 2010 [Member]                            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Number of shares authorized                         1,000,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized
/ us-gaap_PlanNameAxis
= mdco_Espp2010Member
 
Stock issued 155,867us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation
/ us-gaap_PlanNameAxis
= mdco_Espp2010Member
121,845us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation
/ us-gaap_PlanNameAxis
= mdco_Espp2010Member
                       
Recorded stock-based compensation expense 1.2us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_PlanNameAxis
= mdco_Espp2010Member
1.0us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_PlanNameAxis
= mdco_Espp2010Member
                       
Percentage discount from offering date           85.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardDiscountFromMarketPriceOfferingDate
/ us-gaap_PlanNameAxis
= mdco_Espp2010Member
               
Maximum employee subscription rate                       5.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumEmployeeSubscriptionRate
/ us-gaap_PlanNameAxis
= mdco_Espp2010Member
   
Available for future grant 388,340us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
/ us-gaap_PlanNameAxis
= mdco_Espp2010Member
                         
ESPP 2000 [Member]                            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Number of shares authorized           805,500us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized
/ us-gaap_PlanNameAxis
= mdco_Espp2000Member
               
Stock issued 805,437us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation
/ us-gaap_PlanNameAxis
= mdco_Espp2000Member
                         
Percentage discount from offering date           85.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardDiscountFromMarketPriceOfferingDate
/ us-gaap_PlanNameAxis
= mdco_Espp2000Member
               
Maximum employee subscription rate           5.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumEmployeeSubscriptionRate
/ us-gaap_PlanNameAxis
= mdco_Espp2000Member
               
Plan 1998 [Member]                            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Stock option term             10 years              
Periodic period for vesting term             4 years              
Options outstanding 24,490us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_PlanNameAxis
= mdco_Plan1998Member
                         
Number of shares authorized             6,118,259us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized
/ us-gaap_PlanNameAxis
= mdco_Plan1998Member
             
Stock issued 5,046,587us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation
/ us-gaap_PlanNameAxis
= mdco_Plan1998Member
                         
Director Plan 2000 [Member]                            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Options outstanding 0us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_PlanNameAxis
= mdco_DirectorPlan2000Member
                         
Stock issued 177,086us-gaap_StockIssuedDuringPeriodSharesShareBasedCompensation
/ us-gaap_PlanNameAxis
= mdco_DirectorPlan2000Member
                         
Restricted Stock and ESPP [Member]                            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Recorded stock-based compensation expense 34.3us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_AwardTypeAxis
= mdco_RestrictedStockAndEsppMember
23.0us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_AwardTypeAxis
= mdco_RestrictedStockAndEsppMember
15.0us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_AwardTypeAxis
= mdco_RestrictedStockAndEsppMember
                     
Stock Options [Member]                            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Stock option term 10 years                          
Periodic period for vesting term 4 years                          
Options granted 2,825,451us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
2,263,649us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
1,619,702us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
                     
Options outstanding 8,984,763us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
7,616,404us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
9,112,032us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
                    9,136,677us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
Recorded stock-based compensation expense $ 32.8us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
$ 15.9us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
$ 9.6us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
                     
Available for future grant 2,656,366us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
                         
Stock Options [Member] | Plan 2013 [Member]                            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                            
Options granted 3,902,596us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
/ us-gaap_PlanNameAxis
= mdco_Plan2013Member
                         
Options outstanding 3,560,018us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
/ us-gaap_PlanNameAxis
= mdco_Plan2013Member