Ok, I'm not sure how this works for other year models, but here is how i got it to work for mine ('79).
I'm using the MSnS triggered from the stock crank angle sensor on my '81 turbo motor.
Getting the MSD to work is simple enough. It can be triggered directly from the MS with no problems...you don't even need the pullup resistor. In this configuration, the stock tach will not work. At least mine wouldn't. It can't be triggered by the MSD's tach output or the coil, so I got the 8910 tach adapter.
Ok...here's the tricky part. If you want your tach to work, you have to use either the HEI module or the stock ignition module to trigger the MSD. The MS will trigger the module as before the MSD. You'll hook the wire that went from the module to the (-) terminal on the coil to the MSD white wire and tach adapter as shown in the tach adapter instructions. Basically, the (-) terminal wire becomes the trigger wire, and you use the tach adapter to convert the signal to something the tach understands.
I know that's about as clear as mud, so maybe I'll draw a nice diagram later.