October 18, 2004

Terrell Herring

 
Re:
Amendment to Employment Agreement

Dear Terrell:

This letter confirms our agreement and shall serve to amend the April 8, 2002
Employment Agreement between you and the Company in accordance with the
following:

3(a).Base Salary.
 
The paragraph shall be amended to read as follows:
 
The Company shall pay the Executive a base salary at an annual rate of $325,000
payable at such times and in accordance with the Company's customary payroll
practices as they may be adopted or modified from time to time. On an annual
basis or at such other times as the Company may determine, the Company may
review the Executive's performance and determine whether, in its sole
discretion, the Company will increase (but not decrease) the Executive's base
salary. At no time during the pendency of this agreement shall the Company,
without the written consent of the Executive, decrease the Executive’s base pay.
 
5(c). Termination Without Cause or for Good Reason.
 
The paragraph shall be amended to read as follows:
 
If the Executive's employment hereunder is terminated by the Company Without
Cause pursuant to Section 5(a)(iv) above or For Good Reason pursuant to Section
5 (a)(v) the Company shall award the Executive severance benefits, subject to
the terms and conditions of this Agreement and of The Ventiv Health, Inc.
Severance Benefit Plan, if applicable. A lump sum payment of fifty two (52)
weeks of the Executive’s base pay, minus such deductions as may be required by
law or reasonably requested by the Executive to be paid out immediately. In
order to be eligible to receive any Severance Payment pursuant to this paragraph
6, the Executive must sign, prior to receiving such Severance Payment, a valid
release and waiver of all claims against the Company relating to the executive’s
employment or the termination thereof, in a format to be determined by the
Company. No payment shall be made hereunder until at least eight (8) days
following the execution and delivery by the Executive of the valid release and
waiver.
 

Very truly yours,

VENTIV HEALTH, INC.

By:__/s/ Eran Broshy________________________   
Eran Broshy
CEO 

Accepted and agreed to by: /s/ Terrell
Herring_____________________  Dated:______________              Terrell
Herring