AMENDMENT, RATIFICATION AND CONFIRMATION OF CONTINUING UNCONDITIONAL GUARANTY

        THIS AMENDMENT, RATIFICATION AND CONFIRMATION OF CONTINUING
UNCONDITIONAL GUARANTY (“Agreement”) is dated this 31st day of January, 2007 by
and between MTS MEDICATION TECHNOLOGIES LIMITED (formerly known as MTS Packaging
Systems International, Ltd.) (“Guarantor”) and LASALLE BUSINESS CREDIT, LLC,
successor by merger to LaSalle Business Credit, Inc., as Agent (“Agent”) for
LASALLE BANK MIDWEST NATIONAL ASSOCIATION (formerly known as Standard Federal
Bank National Association) (“Lender”).

BACKGROUND

  A. Pursuant to that certain Loan and Security Agreement dated June 26, 2002 by
and among MTS Medication Technologies, Inc. (formerly known as Medical
Technology Systems, Inc.) and MTS Packaging Systems, Inc. (“Borrowers”), Agent
and Lender (as amended by that certain First Amendment to Loan and Security
Agreement dated July 8th, 2003, that certain Second Amendment to Loan and
Security Agreement dated June 18, 2004, that certain Third Amendment to Loan and
Security Agreement dated February 22, 2006, that certain Fourth Amendment to
Loan and Security Agreement dated November 30, 2006 (the “Fourth Amendment”),
that certain Fifth Amendment to Loan and Security Agreement dated of even date
herewith (the “Fifth Amendment”) and as the same may be further amended,
modified, supplemented or restated from time to time, the “Loan Agreement”),
Lender agreed, inter alia, to make available to Borrowers various credit
facilities.

  B. In connection with the Loan Agreement, Guarantor executed in favor of Agent
that certain Continuing Unconditional Guaranty dated July 8, 2003 (the
“Guaranty”).

  C. Pursuant to the Fourth Amendment, Lender extended to Borrowers a term loan
in the original principal amount of Six Million Four Hundred Thousand Dollars
($6,400,000.00) on the terms and conditions set forth therein (the “Overadvance
Term Loan”).

  D. In connection with the Fourth Amendment, Borrowers executed and delivered
to Agent a promissory note in the original principal amount of Six Million Four
Hundred Thousand Dollars ($6,400,000.00) dated November 30, 2006 (the
“Overadvance Term Note”).

  E. Guarantor and Agent desire to confirm that the Guaranty secures and extends
to the Overadvance Term Loan, and desire to ratify and confirm all other terms
and conditions of the Guaranty.

  F. Capitalized terms used herein and not otherwise defined shall have the
meanings provided for such terms in the Loan Agreement.

        NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged, the undersigned, intending to be
legally bound hereby, agree as follows:

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  1. Borrowers’ Liabilities.   The definition of “Borrowers’ Liabilities” set
forth in the Guaranty includes, without limitation, the Overadvance Term Loan
and all obligations of Borrowers under the Overadvance Term Note.

  2. Ratification and Confirmation of Guaranty.   The Guaranty and Guarantor’s
obligations thereunder are hereby ratified, confirmed and continued as the date
hereof.

  3. Amendment.  The undersigned, intending to be legally bound hereby, consent
to and agree to be bound by the Fourth Amendment and the Fifth Amendment and all
terms and conditions thereof and agrees that such Fourth Amendment and Fifth
Amendment shall in no way adversely affect or impair its obligations under the
Guaranty.

  4. Release.   Guarantor acknowledges and agrees that it has no claims, suits
or causes of action against Agent or Lender and hereby remises, releases and
forever discharges Agent, Lender, their officers, directors, shareholders,
employees, agents, successors and assigns from any claims, suits or causes of
action whatsoever, in law or equity, which Guarantor has or may have arising
from any act, omission or otherwise, at any time up to and including the date of
this Agreement.

  5. Binding Effect.  This Agreement shall be binding upon the successors,
assigns and personal representatives of each of the undersigned and shall inure
to the benefit of the successors and assigns of Agent.

  6. Severability.   The provisions of this Agreement are deemed to be severable
and the invalidity or unenforceability of any provision shall not affect or
impair the remaining provisions which shall continue in full force and effect.

  7. Governing Law.  This Agreement has been made, executed and delivered in the
Commonwealth of Pennsylvania and will be construed in accordance with and
governed by the laws of such Commonwealth.

  8. Headings.   The headings of this Agreement are inserted for convenience
only and shall not be deemed to constitute a part of this Agreement.

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        IN WITNESS WHEREOF, and intending to be legally bound hereby, the
undersigned have executed this Agreement as of the day and year first above
written.

    MTS MEDICATION TECHNOLOGIES, INC.
(formerly known as Medical Technology Systems, Inc.           By:
___________________________________     Name/Title:
___________________________________

    LASALLE BUSINESS CREDIT, LLC, successor by merger to LaSalle Business
Credit, Inc., as Agent for LaSalle Bank Midwest National Association, formerly
known as Standard Federal Bank National Association           By:
___________________________________     Name/Title:
___________________________________

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STATE OF ________________________ :   SS: COUNTY OF ______________________  :

        On this, the ___ day of ___________, 2007, before me, a notary public,
the undersigned member, personally appeared Michael P. Conroy, who acknowledged
himself/herself to be the Vice President of MTS MEDICATION TECHNOLOGIES LIMITED,
a company formed under the laws of England and Wales, and that he/she as such
officer of such company, being authorized to do so executed the foregoing
instrument for the purposes therein contained, by signing the name of the
company by himself/herself as such officer.

        IN WITNESS WHEREOF, I hereunto set my hand and official seal.

_________________________
Notary Public                               
My Commission Expires: