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Intangible Assets and Goodwill (Details) (USD $)
3 Months Ended 0 Months Ended
Mar. 31, 2015
Feb. 06, 2015
Feb. 04, 2015
Dec. 31, 2014
Intangible Assets and Goodwill [Line Items]        
Weighted Average Useful Life 14 years 1 month 17 days      
Gross Carrying Amount $ 413,672,000us-gaap_FiniteLivedIntangibleAssetsGross     $ 261,055,000us-gaap_FiniteLivedIntangibleAssetsGross
Accumulated Amortization and Other Charges (87,548,000)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization     (81,076,000)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
Net Carrying Amount 326,124,000us-gaap_FiniteLivedIntangibleAssetsNet     179,979,000us-gaap_FiniteLivedIntangibleAssetsNet
Intangible assets not subject to amortization 715,680,000us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill     712,680,000us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
Amortization of Intangible Assets 6,500,000us-gaap_AmortizationOfIntangibleAssets      
Future amortization expense, remainder of fiscal year 18,000,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear      
Future amortization expense, 2016 24,000,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths      
Future amortization expense, 2017 24,000,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo      
Future amortization expense, 2018 24,100,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree      
Future amortization expense, 2019 23,700,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour      
Future amortization expense, 2020 23,100,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive      
Future amortization expense, after Year 2020 189,200,000us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive      
In Process Research and Development [Member]        
Intangible Assets and Goodwill [Line Items]        
Intangible assets not subject to amortization 715,680,000us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_InProcessResearchAndDevelopmentMember
    650,680,000us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_InProcessResearchAndDevelopmentMember
Recothrom Option [Member]        
Intangible Assets and Goodwill [Line Items]        
Intangible assets not subject to amortization 0us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= mdco_RecothromOptionMember
    62,000,000us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= mdco_RecothromOptionMember
Selling rights agreement [Member]        
Intangible Assets and Goodwill [Line Items]        
Weighted Average Useful Life 1 month 14 days      
Gross Carrying Amount 9,125,000us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_DistributionRightsMember
    9,125,000us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_DistributionRightsMember
Accumulated Amortization and Other Charges (9,023,000)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_DistributionRightsMember
    (8,961,000)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_DistributionRightsMember
Net Carrying Amount 102,000us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_DistributionRightsMember
    164,000us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_DistributionRightsMember
Product licenses [Member]        
Intangible Assets and Goodwill [Line Items]        
Weighted Average Useful Life 1 month 28 days      
Gross Carrying Amount 71,000,000us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= mdco_ProductLicenseMember
    71,000,000us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= mdco_ProductLicenseMember
Accumulated Amortization and Other Charges (67,162,000)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= mdco_ProductLicenseMember
    (65,602,000)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= mdco_ProductLicenseMember
Net Carrying Amount 3,838,000us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= mdco_ProductLicenseMember
    5,398,000us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= mdco_ProductLicenseMember
Developed product rights [Member]        
Intangible Assets and Goodwill [Line Items]        
Weighted Average Useful Life 13 years 11 months 1 day      
Gross Carrying Amount 333,547,000us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_DevelopedTechnologyRightsMember
    180,930,000us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_DevelopedTechnologyRightsMember
Accumulated Amortization and Other Charges (11,363,000)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_DevelopedTechnologyRightsMember
    (6,513,000)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_DevelopedTechnologyRightsMember
Net Carrying Amount 322,184,000us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_DevelopedTechnologyRightsMember
    174,417,000us-gaap_FiniteLivedIntangibleAssetsNet
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_DevelopedTechnologyRightsMember
Recothrom [Member]        
Intangible Assets and Goodwill [Line Items]        
Business Combination, Consideration Transferred   132,400,000us-gaap_BusinessCombinationConsiderationTransferred1
/ us-gaap_BusinessAcquisitionAxis
= mdco_RecothromMember
   
Inventory   44,000,000us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedInventory
/ us-gaap_BusinessAcquisitionAxis
= mdco_RecothromMember
   
Annovation [Member]        
Intangible Assets and Goodwill [Line Items]        
Research and Development in Process     $ 65,000,000us-gaap_ResearchAndDevelopmentInProcess
/ us-gaap_BusinessAcquisitionAxis
= mdco_AnnovationMember