|AMENDMENT
|---------

| | ThisAMENDMENT TO DISTRIBUTION AGREEMENT(this Amendment), dated as
of June 16, 2003, between IMS Health Incorporated (IMS) and Synavant
Inc. (Synavant).
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| | WHEREAS,
IMS and Synavant are parties to that certain Distribution Agreement, dated as of August
31, 2000 (as the same may have been amended, modified, or supplemented prior to the date
hereof, the Distribution Agreement)
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| | WHEREAS,
IMS, Synavant, and Dendrite International, Inc. (Dendrite) entered
into a Letter Agreement, dated May 8, 2003 (the Letter Agreement), in
contemplation of the acquisition of Synavant by Dendrite and/or certain of its affiliates
(the Transaction);
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| | WHEREAS,
simultaneous with the execution and delivery of this Amendment, the Transaction will be
closed and in accordance with the Letter Agreement the parties desire to amend the terms
of the Distribution Agreement;
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| | NOW,
THEREFORE, in consideration of the premises and mutual covenants and agreements set
forth in this Amendment, the parties hereby agree as follows (capitalized terms contained
herein and not defined in this Amendment have the meanings set forth in the Distribution
Agreement):
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| | 1.           
   The Distribution Agreement is hereby amended by deleting Section 2.16 in its
entirety, and replacing it with the following: Section 2.16 [Intentionally omitted].
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| | 2.           
   Except as expressly amended and modified under paragraph 1 above, the Distribution
Agreement shall remain in full force and effect.
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| | 3.           
   This Amendment shall be governed by and construed in accordance with the laws of the
State of New York applicable to contracts made and to be performed in the State of New York.
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|[SIGNATURE PAGE
FOLLOWS]
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| | IN
WITNESS WHEREOF, the parties hereto have caused this Amendment to be executed and
delivered by their respective duly authorized representative as of the date first above
written.
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| |  | IMS HEALTH INCORPORATED.BY:  ROBERT H. STEINFELD
Name:  Robert H. SteinfeldTitle:    SVP - General Counsel
| |  | ------------------------------------------------------------------------------------------------------------------------

| |  | SYNAVANT INC.BY:  CHRISTINE PELLIZZARI
Name:  Christine PellizzariTitle:    Secretary
| |  | ---------------------------------------------------------------------------------------------------