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Stock-based Compensation Expense (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Stock-based compensation expense:    
Less stock-based compensation expense capitalized to inventories $ (884)us-gaap_EmployeeServiceShareBasedCompensationAllocationOfRecognizedPeriodCostsCapitalizedAmount $ (207)us-gaap_EmployeeServiceShareBasedCompensationAllocationOfRecognizedPeriodCostsCapitalizedAmount
Total stock-based compensation included in costs and expenses 57,384us-gaap_AllocatedShareBasedCompensationExpense 46,580us-gaap_AllocatedShareBasedCompensationExpense
Stock options    
Stock-based compensation expense:    
Stock-based compensation expense by type of award 28,959us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardCompensationCost1
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
25,127us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardCompensationCost1
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
Type of award:    
Unrecognized Expense, Net of Estimated Forfeitures 199,256us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
 
Weighted-average Recognition Period (in years) 2 years 3 months 22 days  
Restricted stock and restricted stock units    
Stock-based compensation expense:    
Stock-based compensation expense by type of award 27,169us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardCompensationCost1
/ us-gaap_AwardTypeAxis
= vrtx_EmployeeRestrictedStockOptionMember
18,993us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardCompensationCost1
/ us-gaap_AwardTypeAxis
= vrtx_EmployeeRestrictedStockOptionMember
Type of award:    
Unrecognized Expense, Net of Estimated Forfeitures 201,465us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
/ us-gaap_AwardTypeAxis
= vrtx_EmployeeRestrictedStockOptionMember
 
Weighted-average Recognition Period (in years) 2 years 10 months 17 days  
ESPP share issuances    
Stock-based compensation expense:    
Stock-based compensation expense by type of award 2,140us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardCompensationCost1
/ us-gaap_AwardTypeAxis
= vrtx_EmployeeStockPurchasePlanMember
2,667us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardCompensationCost1
/ us-gaap_AwardTypeAxis
= vrtx_EmployeeStockPurchasePlanMember
Type of award:    
Unrecognized Expense, Net of Estimated Forfeitures 2,205us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
/ us-gaap_AwardTypeAxis
= vrtx_EmployeeStockPurchasePlanMember
 
Weighted-average Recognition Period (in years) 5 months 12 days  
Research and development expenses    
Stock-based compensation expense:    
Total stock-based compensation included in costs and expenses 38,217us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_IncomeStatementLocationAxis
= us-gaap_ResearchAndDevelopmentExpenseMember
32,900us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_IncomeStatementLocationAxis
= us-gaap_ResearchAndDevelopmentExpenseMember
Sales, general and administrative expenses    
Stock-based compensation expense:    
Total stock-based compensation included in costs and expenses $ 19,167us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_IncomeStatementLocationAxis
= vrtx_SellingGeneralAndAdministrativeExpenseMember
$ 13,680us-gaap_AllocatedShareBasedCompensationExpense
/ us-gaap_IncomeStatementLocationAxis
= vrtx_SellingGeneralAndAdministrativeExpenseMember
Maximum    
Share-based Compensation Arrangement by Share-based Payment Award    
Maximum percent of employees eligible for partial or full acceleration of equity awards 5.00%vrtx_EmployeeServiceSharebasedCompensationEmployeesEligibleforPartialorFullAccelerationofEquityAwardsPercent
/ us-gaap_RangeAxis
= us-gaap_MaximumMember