EXHIBIT 31.1

# RULE
13a-14(a)/15d-14(a) CERTIFICATION OF CEO PURSUANT TOSECTION 302 OF THE
SARBANES-OXLEY ACT

I, James Smith, Chief Executive
Officer, certify that:

| | 1. | I have reviewed this quarterly report on Form 10-Q of National Medical Health Card
               Systems, Inc. and its Subsidiaries (the Registrant);
| | -- | --------------------------------------------------------------------------------------------------------------------------------------------------------

| | 2. | Based on my knowledge, this quarterly report does not contain any untrue statement
               of a material fact or omit to state a material fact necessary to make the
               statements made, in light of the circumstances under which such statements were
               made, not misleading with respect to the period covered by this quarterly report;
| | -- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 3. | Based on my knowledge, the financial statements, and other financial information
               included in this quarterly report, fairly present in all material respects the
               financial condition, results of operations and cash flows of the Registrant as
               of, and for, the periods presented in this quarterly report;
| | -- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 4. | The Registrants other certifying officer and I are responsible for
               establishing and maintaining disclosure controls and procedures (as defined in
               Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial
               reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the
               Registrant and we have:
| | -- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(a) | designed such disclosure controls and procedures, or caused such disclosure
                    controls and procedures to be designed under our supervision, to ensure that
                    material information relating to the Registrant, including its consolidated
                    subsidiaries, is made known to us by others within those entities, particularly
                    during the period in which this quarterly report is being prepared;
|--- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(b) | designed such internal control over financial reporting, or caused such
                    internal control over financial reporting to be designed under our supervision,
                    to provide reasonable assurance regarding the reliability of financial reporting
                    and the preparation of financial statements for external purposes in accordance
                    with generally accepted accounting principles;
|--- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(c) | evaluated the effectiveness of the Registrants disclosure controls and
                    procedures and presented in this quarterly report our conclusions about the
                    effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report,
                  based on such evaluation; and
|--- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(d) | disclosed in this quarterly report any change in the Registrants internal
                    control over financial reporting that occurred during the Registrants
                    most recent fiscal quarter that has materially affected, or is
                    reasonably likely to materially affect, the Registrants internal control
                    over financial reporting; and
|--- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 5. | The Registrants other certifying officers and I have disclosed, based on
               our most recent evaluation of internal control over financial reporting, to the
               Registrants auditors and the audit committee of the Registrants
               board of directors (or persons performing the equivalent function):
| | -- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(a) | all significant deficiencies and material weaknesses in the design or operation
                    of internal controls which are reasonably likely to adversely affect the
                    Registrants ability to record, process, summarize and report financial
                    information; and
|--- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(b) | any fraud, whether or not material, that involves management or other employees
                    who have a significant role in the Registrants internal control over
                    financial reporting.
|--- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| |  | By: /s/ James Smith
James SmithChief Executive Officer
November 15, 2004
| |  | --------------------------------------------------------------------------------------

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EXHIBIT 31.2

RULE
13a-14(a)/15d-14(a) CERTIFICATION OF CFO PURSUANT TO  SECTION 302 OF THE
SARBANES-OXLEY ACT

I, Stuart Fleischer, Chief Financial
Officer, certify that:

| | 1. | I have reviewed this quarterly report on Form 10-Q of National Medical Health Card
               Systems, Inc. and its Subsidiaries (the Registrant);
| | -- | --------------------------------------------------------------------------------------------------------------------------------------------------------

| | 2. | Based on my knowledge, this quarterly report does not contain any untrue statement
               of a material fact or omit to state a material fact necessary to make the
               statements made, in light of the circumstances under which such statements were
               made, not misleading with respect to the period covered by this quarterly report;
| | -- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 3. | Based on my knowledge, the financial statements, and other financial information
               included in this quarterly report, fairly present in all material respects the
               financial condition, results of operations and cash flows of the Registrant as
               of, and for, the periods presented in this quarterly report.
| | -- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 5. | The Registrants other certifying officer and I are responsible for
               establishing and maintaining disclosure controls and procedures (as defined in
               Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial
               reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the
               Registrant and we have:
| | -- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(a) | designed such disclosure controls and procedures, or caused such disclosure
                    controls and procedures to be designed under our supervision, to ensure that
                    material information relating to the Registrant, including its consolidated
                    subsidiaries, is made known to us by others within those entities, particularly
                    during the period in which this quarterly report is being prepared;
|--- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(b) | designed such internal control over financial reporting, or caused such
                    internal control over financial reporting to be designed under our supervision,
                    to provide reasonable assurance regarding the reliability of financial reporting
                    and the preparation of financial statements for external purposes in accordance
                    with generally accepted accounting principles;
|--- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(c) | evaluated the effectiveness of the Registrants disclosure controls and
                    procedures and presented in this quarterly report our conclusions about the
                    effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report,
                    based on such evaluation; and
|--- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(d) | disclosed in this quarterly report any change in the Registrants internal
                    control over financial reporting that occurred during the Registrants
                    most recent fiscal quarter  that has materially affected, or is
                    reasonably likely to materially affect, the Registrants internal control
                    over financial reporting; and
|--- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 5. | The Registrants other certifying officers and I have disclosed, based on
               our most recent evaluation of internal control over financial reporting, to the
               Registrants auditors and the audit committee of the Registrants
               board of directors (or persons performing the equivalent function):
| | -- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(a) | all significant deficiencies and material weaknesses in the design or operation
                    of internal controls which are reasonably likely to adversely affect the
                    Registrants ability to record, process, summarize and report financial
                    information; and
|--- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(b) | any fraud, whether or not material, that involves management or other employees
                    who have a significant role in the Registrants internal control over
                    financial reporting.
|--- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| |  | By: /s/ Stuart Fleischer
Stuart FleischerChief Financial OfficerNovember 15, 2004
| |  | -----------------------------------------------------------------------------------------------