**EXHIBIT10.1****Lease Extension**     We, the undersigned, hereby agree to renew and extend that Lease between SunbeamDevelopment Corporation (Lessor) and NMHCRX MAIL ORDER, Inc., a division of National Medical HealthCard Systems, Inc. (Lessee) on property located at 9994 Premier Parkway, Miramar, Florida, for anadditional Five (5) Year Period, commencing January 1, 2008 and ending on December 31, 2012. Themonthly rent is to be as follows: ** **** ****$15,305.41 per month plus applicable sales tax from January 1, 2008 thru December 31, 2008;**  ** **** ****$15,917.62 per month plus applicable sales tax from January 1, 2009 thru December 31, 2009;**  ** **** ****$16,554.33 per month plus applicable sales tax from January 1, 2010 thru December 31, 2010;**  ** **** ****$17,216.50 per month plus applicable sales tax from January 1, 2011 thru December 31, 2011;**  ** **** ****$17,905.16 per month plus applicable sales tax from January 1, 2012 thru December 31, 2012.**    Rents for months not listed above shall remain unchanged.Lessee and Lessor each represent to the other that no broker is due a commission from this LeaseExtension.No security deposit shall continue to be held under this Lease.All other terms and conditions will remain unchanged, except for the following changes which shallbe effective immediately unless noted otherwise below (references are to the business lease datedNovember 18, 2002 between Lessor and Lessee which was modified on July 31, 2003); a. Witnesseth Paragraph : Replace “Such payments are in addition to all otherpayments to be made under this Lease by Lessee, including but not limited to thosedescribed in Paragraph 28.” with “The term “rent” under this Lease shall include themonthly sums referenced above (including applicable sales taxes), and all other sums dueunder this Lease, including but not limited to those described in Paragraphs 20 and 28.” b. Paragraph 1 , line 4: Replace “delayed, and all” with “delayed.Notwithstanding any assignment of this Lease, Lessee shall remain fully responsible forits obligations under this Lease. Furthermore, Lessee acknowledges that in the event itsubleases or assigns all or a portion of the Premises and the associatedsubtenant/assignee holds over in the Premises beyond the end of the term of this Lease,Lessee shall be responsible for paying rent, Lessee’s Proportionate Share of Expenses andthe holdover penalty for the entire Premises during the period of thesubtenant’s/assignee’s holdover, regardless of whether the subtenant/assignee issubleasing (and/or occupying) all or only a portion of the Premises. All” c. Paragraph 6 : Add the following to the end of the Paragraph:   “For purposes of this Lease, the term “abandon” shall be defined to mean the failure byLessee, (i) to keep the Premises properly lit, air conditioned, dehumidified, and securedfor a period of more than five (5) calendar days, and/or (ii) to properly maintain theelectrical and interior plumbing systems and promptly notify Lessor of roof leaks, and/or(iii) to provide Lessor access to Premises when reasonably requested to allow inspectionsto insure proper functioning of the Building including but not limited to the roof,plumbing, sewer, electrical, and other systems.” d. Paragraph 12 : Add the following at the end of the paragraph:   “(b) Lessee shall give written notice to Lessor not less than thirty (30) days prior tothe end of the term of this Lease for the express purpose of arranging a meeting withLessor for a joint inspection of the Premises. At such meeting, Lessee and Lessor shallmake a list of all repairs that are required to be made by Lessee. In the event (i)Lessee does not provide such written notice or make itself available for the jointinspection, (ii) Lessee does not make the repairs noted at the joint inspection prior tothe end of the term of this Lease or (iii) Lessee (its subtenants, assignees, agents,contractors or invitees) causes or permits to occur any further damage the Premisesbetween the time of the joint inspection and the end of the term of this Lease, thenLessor shall have the right to obtain prices for the required repairs and submit a billfor same to Lessee for immediate reimbursement by Lessee pursuant to this Paragraph12(b). The prices for the required repairs obtained by Lessor shall be deemedconclusively correct for the purpose of determining the cost to make the repairs.” e. Paragraph 23, line 2: delete the words “plate glass”. f. Paragraph 25, line 3: Change “lighting, loading areas” to “exterior lighting,exterior loading areas” g. Paragraph 28, line 4: Change “rent” with “schedule of rental payments”. h. Paragraph 36 is hereby deemed null and void. i. Paragraph 38, line 2: Delete “for a minimum of three (3) years”. j. Paragraph 38, line 2: Replace “18,850” with “36,000”. k. Add Paragraph 42: Cancellation Option. Provided there are no defaults underthis Lease and all payments due hereunder have been made to Lessor by Lessee, Lessee maycancel this Lease effective December 31, 2010. Said cancellation is subject to Lesseeproviding Lessor with six (6) months prior written notice (sent certified mail, returnreceipt requested) together with payment of $100,000.00 cancellation fee. Said paymentmust be included with Lessee’s cancellation notice to Lessor in order for such notice tobe effective. Rent and Lessee’s Proportionate Share of Expenses shall be payable thruDecember 31, 2010. In the event Lessee does not provide Lessor with the aforedescribedcancellation notice and fee prior to June 30, 2010, Lessee’s Cancellation Option shall bedeemed null and void.
 

 
     **IN WITNESS WHEREOF**, the parties hereto have hereunto executed this instrument for the purposeherein expressed, the day and year above written.     Signed, sealed and delivered in the presence of:         LESSOR: Sunbeam Development, Inc.       /s/ Clara Pink /s/ Andrew Ansin       Witness Sign Name Andrew L. Ansin, Vice President       Clara Pink 1/28/08       Witness Print Name Date       /s/ Anna Morales         Witness Sign Name         Anna Morales         Witness Print Name               LESSEE: NMHCRX Mail Order, Inc.       /s/ Elisa Rosenthal /s/ George McGinn       Witness Sign Name Sign       Elisa Rosenthal George McGinn       Witness Print Name Print       /s/ Angel Rella General Counsel       Witness Sign Name Title       Angel Rella 1/24/08       Witness Print Name Date