SECOND AMENDMENT TO CREDIT AGREEMENT

        THIS SECOND AMENDMENT TO CREDIT AGREEMENT (this “Amendment”) is made and
entered into as of this 16th day of December, 2003, among PSS World Medical,
Inc., a Florida corporation (“PSS”), Gulf South Medical Supply, Inc., a Delaware
corporation (“Gulf South”), and Physician Sales & Services Limited Partnership,
a Florida limited partnership (“PSS LP”); PSS, Gulf South and PSS LP are
referred to hereinafter each individually as a “Borrower” and collectively as
“Borrowers”), PSS Holding, Inc., a Florida corporation (“PSS Holding”), PSS
Service, Inc., a Florida corporation (“PSS Service”), Physician Sales & Service,
Inc., a Florida corporation (“Physician Sales & Service”), Highpoint Holdings,
Inc., a Nevada corporation (“Highpoint”), Highpoint Healthcare Distribution,
Inc., a Nevada corporation (“Highpoint Healthcare”), Gulf South Reimbursement
Services, Inc., a Florida corporation (“Gulf South Reimbursement”), RBG
Holdings, Inc., a Tennessee corporation (“RGB”), ProClaim, Inc., a Tennessee
corporation (“ProClaim”), Ancillary Management Solutions, Inc., a Tennessee
corporation (“Ancillary”), and ThriftyMed, Inc., a Florida corporation
(“ThriftyMed”; PSS Holding, PSS Service, Physician Sales & Service, Highpoint,
Highpoint Healthcare, Gulf South Reimbursement, RBG, ProClaim, Ancillary and
ThriftyMed are referred to hereinafter each individually as a “Guarantor” and
collectively as “Guarantors”), the Lenders party to this Amendment (the
“Lenders”), and Bank of America, N.A., as Agent for the Lenders (the “Agent”).

W I T N E S S E T H :

        WHEREAS, Borrowers, Guarantors, the Lenders and the Agent entered into
that certain Credit Agreement, dated as of May 20, 2003, pursuant to which the
Lenders agreed to make certain loans to Borrowers (as amended, modified,
supplemented and restated from time to time, the “Credit Agreement”); and

        WHEREAS, Borrowers, Guarantors, the Lenders and the Agent desire to
enter into this Amendment for the purpose of amending the Credit Agreement in
certain respects.

        NOW, THEREFORE, in consideration of the foregoing premises, and other
good and valuable consideration, the receipt and legal sufficiency of which are
hereby acknowledged, the parties hereto hereby agree as follows:

    1.        All capitalized terms used herein and not otherwise expressly
defined herein shall have the respective meanings given to such terms in the
Credit Agreement.

    2.        The Credit Agreement is amended by deleting the definition of
“Applicable Margin” and replacing it with the following in lieu thereof:

              “Applicable Margin” means

  (i) with respect to Base Rate Loans and all other Obligations (other than
LIBOR Loans), 0.25%; and

  (ii) with respect to LIBOR Loans, 2.25%.

        The Applicable Margins shall be adjusted (up or down) prospectively on a
quarterly basis as determined by the Leverage Ratio, commencing with the first
day of the first calendar month that occurs more than 5 days after delivery of
the Borrowers’ quarterly Financial Statements to Lenders for the fiscal quarter
ending September 26, 2003. Adjustments in Applicable Margins shall be determined
by reference to the following grids:

If the Ratio of Adjusted Funded
Debt to EBITDA is: Level of
Applicable Margins: › 3.5 to 1.0 Level I > 3.0 to 1.0 but ‹ 3.5 to 1.0 Level II
> 2.5 to 1.0 but ‹ 3.0 to 1.0 Level III > 2.0 to 1.0 but ‹ 2.5 to 1.0 Level IV >
1.50 to 1.0 but ‹ 2.0 to 1.0 Level V > 1.25 to 1.0 but ‹ 1.5 to 1.0 Level VI ‹
1.25 to 1.0 Level VII

  Applicable Margins

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  Level I

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Level II

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Level III

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Level IV

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Level V

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Level VI

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Level VII

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Base Rate Loans 1.00% 0.75% 0.50% 0.25% 0.00% 0.00% (0.25%) LIBOR Loans 3.00%
2.75% 2.50% 2.25% 2.00% 1.75% 1.75%

        All adjustments in the Applicable Margins after the adjustments with
respect to the fiscal quarter ending September 26, 2003 shall be implemented
quarterly on a prospective basis, for each calendar month commencing at least 5
days after the date of delivery to the Lenders of quarterly unaudited or annual
audited (as applicable) Financial Statements evidencing the need for an
adjustment. Concurrently with the delivery of those Financial Statements, the
Borrowers shall deliver to the Agent and the Lenders a certificate, signed by a
Designated Financial Officer, setting forth in reasonable detail the basis for
the continuance of, or any change in, the Applicable Margins. In the event that,
subsequent to the setting of the Applicable Margins based on the Borrowers’
unaudited Financial Statements as of the end of the last fiscal quarter of any
Fiscal Year, the Borrowers deliver their audited Financial Statements as of the
end of such Fiscal Year and such audited Financial Statements call for a higher
level set forth in the foregoing grid, such higher level shall apply
retroactively to the date of the setting of the Applicable Margins based on such
unaudited Financial Statements. Failure to timely deliver such Financial
Statements shall, at the election of the Agent and in addition to any other
remedy provided for in the Agreement, result in an increase in the Applicable
Margins to the highest level set forth in the foregoing grid, until the first
day of the first calendar month following the delivery of those Financial
Statements demonstrating that such an increase is not required. If a Default or
Event of Default has occurred and is continuing at the time any reduction in the
Applicable Margins is to be implemented, no reduction may occur until the first
day of the first calendar month following the date on which such Default or
Event of Default is waived or cured.

    3.        The Credit Agreement is amended by deleting the definition of
“Maximum Inventory Loan Amount” and replacing it with the following in lieu
thereof:

              “Maximum Inventory Loan Amount” means $90,000,000.

    4.        The Credit Agreement is amended by deleting the definition of
“Maximum Revolver Amount” and replacing it with the following in lieu thereof:

              “Maximum Revolver Amount” means $200,000,000.

    5.        The Credit Agreement is amended by deleting the definition of
“Permitted Acquisition” and replacing it with the following in lieu thereof:

        “Permitted Acquisition” means the acquisition by an Obligor of all or a
substantial portion of the assets or equity interests of another Person in the
same or a similar line of business to that conducted by the Obligors (the
“Target”) so long as: (a) the Obligors shall provide the Agent notice of the
proposed Acquisition, and such pro forma and historical financial statements and
other information and documents relating to the proposed Acquisition as the
Agent may request, at least 15 days prior to the date of the consummation of the
proposed Acquisition; (b) the purchase price for such acquisition does not
exceed $10,000,000 individually or $50,000,000 in the aggregate for all such
acquisitions (it being understood that (i) purchase price shall include all cash
paid at closing, all Debt described in Section 7.13(f), and all other purchase
price consideration (other than good faith “earn out” consideration not intended
as a substitute for cash consideration to circumvent the limitations contained
in this definition) in connection with such acquisition, and (ii) such
$50,000,000 aggregate amount shall be calculated by adding the purchase price
from all acquisitions consummating on or after May 20, 2003 through and
including the Termination Date); (c) no Default or Event of Default exists
before or after giving effect to such acquisition; (d) after giving effect to
the consummation of such acquisition (including any Loans made hereunder to
finance such acquisition), Excess Availability is greater than $20,000,000;
provided, that no assets of the Target shall be included in the calculation of
Excess Availability for purposes of this clause (d) or otherwise until the Agent
has completed a satisfactory field examination with respect to the Target and
its assets (it being understood that, notwithstanding the completion of a
satisfactory field examination, the Agent shall have the right, in its
reasonable commercial discretion, to establish lower advance rates and/or
reserves against the Accounts and Inventory of the Target and/or to elect not to
include any such Accounts or Inventory as Eligible Accounts or Eligible
Inventory); (e) after giving effect to the consummation of such Acquisition, the
Borrowers are in compliance with the financial covenants set forth in Section
7.23 on a pro forma basis (it being understood that this requirement shall apply
whether or not Excess Availability is greater than $25,000,000 after giving
effect to the consummation of such Acquisition); provided, that such financial
covenants shall be measured as of the most recently ended fiscal month for which
the Borrowers have delivered the financial statements required under Section
5.2(b) or (c), as the case may be, for the twelve fiscal month period then
ended; (f) the Accounts Payable Turnover, calculated as of the date of such
proposed Acquisition and as of the most recently ended fiscal month for which
the Borrowers have delivered the financial statements required under Section
5.2(b) or (c), as the case may be, shall not in either case exceed 45 days; (g)
such acquisition does not involve a “hostile” takeover or tender offer; (h) a
Responsible Officer delivers to the Agent a certificate (i) demonstrating
compliance with clauses (d), (e) and (f) above, and (ii) stating that no Default
or Event of Default exists before or after giving effect to such acquisition;
(i) after giving effect to the consummation of such acquisition (including any
Loans made hereunder to finance such acquisition) the Aggregate Revolver
Outstandings shall not exceed the Maximum Revolver Amount minus $20,000,000; and
(j) if the Target will become a Subsidiary of a Borrower in connection with such
acquisition, the Borrowers and the Target shall cause the Target to become a
Borrower (or, if the Agent requires, a Guarantor) hereunder and grant to the
Agent, for the benefit of the Agent and the Lenders, a perfected, first-priority
Lien on substantially all of the assets of the Target, all pursuant to
documentation in form and substance acceptable to the Agent in its discretion.

    6.        The Credit Agreement is amended by deleting Schedule 1.1 and
replacing it with the Schedule 1.1 attached hereto.

    7.        The effectiveness of this Amendment is expressly conditioned upon
the following:

    (a)               the due execution and delivery of this Amendment by each
of the parties hereto;

    (b)        the delivery to the Agent of duly executed originals of each of
the documents set forth on the Closing Checklist, a copy of which is attached
hereto as Exhibit A; and

    (c)        the payment by the Borrowers of the amendment fee described in
the fee letter with the Agent.

    8.        To induce the Agent and the Lenders to enter into this Amendment,
Borrowers and Guarantors hereby represent and warrant that, as of the date
hereof, there exists no Default or Event of Default under the Credit Agreement.

    9.        Borrowers and Guarantors hereby restate, ratify, and reaffirm each
and every term, condition, representation and warranty heretofore made by each
of them under or in connection with the execution and delivery of the Credit
Agreement, as modified hereby, and the other Loan Documents, as fully as though
such representations and warranties had been made on the date hereof and with
specific reference to this Amendment, except to the extent that any such
representation or warranty relates solely to a prior date.

    10.        Except as expressly set forth herein, the Credit Agreement and
the other Loan Documents shall be and remain in full force and effect as
originally written, and shall constitute the legal, valid, binding and
enforceable obligations of Borrowers and Guarantors to the Agent and the
Lenders.

    11.        Borrowers agree to pay on demand all reasonable costs and
expenses of the Agent in connection with the preparation, execution, delivery
and enforcement of this Amendment and all other Loan Documents and any other
transactions contemplated hereby, including, without limitation, the reasonable
fees and out-of-pocket expenses of legal counsel to the Agent.

    12.        Borrowers and Guarantors agree to take such further action as the
Agent shall reasonably request in connection herewith to evidence the agreements
herein contained.

    13.        This Amendment may be executed in any number of counterparts and
by different parties hereto in separate counterparts, each of which, when so
executed and delivered, shall be deemed to be an original and all of which
counterparts, taken together, shall constitute but one and the same instrument.

    14.        This Amendment shall be binding upon and inure to the benefit of
the successors and permitted assigns, and legal representatives and heirs, of
the parties hereto.

    15.        This Amendment shall be governed by, and construed in accordance
with, the laws of the State of Georgia.

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        IN WITNESS WHEREOF, Borrowers, Guarantors, the Agent and the Lenders
have caused this Amendment to be duly executed as of the date first above
written.

  BORROWERS:          
      
       
       
       
        PSS WORLD MEDICAL, INC.

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

       
      
       
       
       
        GULF SOUTH MEDICAL SUPPLY, INC.

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

       
      
       
       
       
        PHYSICIAN SALES & SERVICE LIMITED PARTNERSHIP

By:  PSS World Medical, Inc.,
         Its general partner

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

  GUARANTORS:          
      
       
       
       
        PSS HOLDING, INC.

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

       
      
       
       
       
        PSS SERVICE, INC.

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

       
      
       
       
       
        PHYSICIAN SALES & SERVICE, INC.

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

       
      
       
       
       
        THRIFTYMED, INC.

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

       
      
       
       
       
        HIGHPOINT HOLDINGS, INC.

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

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        HIGHPOINT HEALTHCARE DISTRIBUTIONS, INC.

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

       
      
       
       
       
        GULF SOUTH REIMBURSEMENT SERVICES, INC.

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

       
      
       
       
       
        RBG HOLDINGS, INC.

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

       
      
       
       
       
        PROCLAIM, INC.

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

       
      
       
       
       
        ANCILLARY MANAGEMENT SOLUTIONS, INC.

By:  /s/ David D. Klarner
Name:  David D. Klarner
Title:   Vice President

[Signatures Continued on Next Page]

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  LENDERS:          
      
       
       
       
        BANK OF AMERICA, N.A.

By:  /s/ Mark Herdman
Name:  Mark Herdman
Title:   Vice President

       
      
       
       
       
        GENERAL ELECTRIC CAPITAL CORPORATION

By:  /s/ Steven Wagnblas
Name:  Steven Wagnblas
Title:   Duly Authorized Signatory

       
      
       
       
       
        FLEET CAPITAL CORPORATION

By:  /s/ W. Reed Paden
Name:  W. Reed Paden
Title:   Vice President

       
      
       
       
       
        WACHOVIA BANK, N.A.

By:  /s/ Eric Butler
Name:  Eric Butler
Title:   Managing Director

  AGENT:          
      
       
       
       
        BANK OF AMERICA, N.A.

By:  /s/ Mark Herdman
Name:  Mark Herdman
Title:   Vice President

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SCHEDULE 1.1

COMMITMENTS

Lender

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Commitment

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Pro Rata Share

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            Bank of America, N.A $83,000,000 41.500%
        General Electric Capital
        Corporation $47,000,000 23.500%
        Fleet Capital Corporation $35,000,000 17.500%
        Wachovia Bank, N.A $35,000,000 17.500%