exv4w1






Exhibit 4.1




Form of Note



This Security is a Global Security within the meaning of the Indenture hereinafter referred to
and is registered in the name of a Depositary or a nominee of a Depositary. This Security is
exchangeable for Securities registered in the name of a person other than the Depositary or its
nominee only in the limited circumstances described in the Indenture and may not be transferred
except as a whole by the Depositary to a nominee of the Depositary or by a nominee of the
Depositary to the Depositary or another nominee of the Depositary.








 









 








Form of Note




MEDCO HEALTH SOLUTIONS, INC.

2.750% Notes due 2015




	 	 	 	 	 

	No.
[     ]
	 	 	 	 
	CUSIP No. 58405U AF9
	 	$	                    	 






     MEDCO HEALTH SOLUTIONS, INC., a corporation duly organized and existing under the laws of
Delaware (herein called the “Company,” which term includes any successor corporation under the
Indenture hereinafter referred to), for value received, hereby promises to pay to, or registered
assigns, the principal sum of                                  DOLLARS ($                    ) on September 15,
2015, and to pay interest thereon from September 10, 2010, semi-annually on March 15 and September
15 in each year, commencing March 15, 2011, at the rate of 2.750% per annum, until the principal
hereof is paid or made available for payment. Interest on this Security shall be calculated on a
pro rata basis using twelve 30-day months and a 360-day year. The interest so payable, and
punctually paid or duly provided for, on any Interest Payment Date will, as provided in such
Indenture, be paid to the Person in whose name this Security (or one or more Predecessor
Securities) is registered at the close of business on the Regular Record Date for such interest,
which shall be the March 1 or September 1 (whether or not a Business Day), as the case may be, next
preceding such Interest Payment Date. Any such interest not so punctually paid or duly provided for
will forthwith cease to be payable to the Holder on such Regular Record Date and may either be paid
to the Person in whose name this Security (or one or more Predecessor Securities) is registered at
the close of business on a Special Record Date for the payment of such Defaulted Interest to be
fixed by the Trustee, notice whereof shall be given to Holders of Securities of this series not
less than 10 days prior to such Special Record Date, or be paid at any time in any other lawful
manner not inconsistent with the requirements of any securities exchange on which the Securities of
this series may be listed, and upon such notice as may be required by such exchange, all as more
fully provided in said Indenture.



     Payment of the principal of and interest on this Security shall be payable at the Corporate
Trust Office of U.S. Bank Trust National Association, located at 100 Wall Street, Suite 1600, New
York, NY 10005 or at such other office or agency of the Company maintained for that purpose in New
York, NY, in such coin or currency of the United States of America as at the time of payment is
legal tender for payment of public and private debts; provided, however, that at
the option of the Company, interest may be paid by check mailed to the address of the person
entitled thereto as such address shall appear on the Security Register or by transfer to an account
maintained by the payee with a bank located in the United States; and, provided,
further, that so long as this Security is registered in the name of DTC or its nominee,
principal and interest payments will be paid to DTC or its nominee, as the Holder, by wire transfer
in same-day funds.



1









 





     For purposes of the Indenture, “Business Day” means each Monday, Tuesday, Wednesday, Thursday
and Friday that is not a day on which banking institutions in New York City are authorized or
obligated by law or executive order to close.



     Reference is hereby made to the further provisions of this Security set forth on the reverse
hereof, which further provisions shall for all purposes have the same effect as if set forth at
this place.



     Unless the certificate of authentication hereon has been executed by the Trustee referred to
on the reverse hereof by manual signature, this Security shall not be entitled to any benefit under
the Indenture or be valid or obligatory for any purpose.



     The Indenture and the Securities shall be governed by and construed in accordance with the
laws of the State of New York.



     All terms used in this Security that are defined in the Indenture shall have the meaning
assigned to them in the Indenture.



2









 





     IN WITNESS WHEREOF, the Company has caused this instrument to be duly executed under its
corporate seal.


Dated:                     , 2010




	 	 	 	 	 
	 	MEDCO HEALTH SOLUTIONS, INC.

 	 
	 	By:  	 	 
	 	 	Name:  	 	 
	 	 	Title:  	 	 
	 



	 	 	 	 	 
	Attest:

 	 
	By:  	 	 
	 	Name:  	 	 
	 	Title:  	 	 



 









 






	 	 	 	 	 


Dated:                     , 2010




TRUSTEE’S CERTIFICATE OF AUTHENTICATION



This is one of the Securities of the series designated therein referred to in the within-mentioned
Indenture.




	 	 	 	 	 
	 	U.S. BANK TRUST NATIONAL ASSOCIATION,

As Trustee

 	 
	 	By:  	 	 
	 	 	Authorized Signatory 	 
	 	 	 	 



 









 






	 	 	 	 	 



Reverse of Security




          1. Indenture and Principal Amount





     This Security is one of a duly authorized issue of securities of the Company (herein called
the “Securities”), issued and to be issued in one or more series under an Indenture, dated as of
March 18, 2008 (herein called the “Indenture”), from the Company to U.S. Bank Trust National
Association, as trustee (herein called the “Trustee,” which term includes any successor trustee
under the Indenture), to which the Indenture and all indentures supplemental thereto reference is
hereby made for a statement of the respective rights, limitations of rights, duties and immunities
thereunder of the Company, the Trustee and the Holders of the Securities and of the terms upon
which the Securities are, and are to be, authenticated and delivered. This Security is one of the
series designated on the face hereof, limited in aggregate principal amount to FIVE HUNDRED MILLION
DOLLARS ($500,000,000) except for Securities authenticated and delivered upon registration or
transfer of, or in exchange for, or in lieu of, Securities pursuant to Sections 304, 305, 306, 906
or 1107 of the Indenture and subject to the right of the Company to “re-open” the Series of
Securities.



          2. Optional Redemption




     The Securities of this series are subject to redemption (in minimum amounts of $2,000 and
integral multiples of $1,000 in excess thereof) upon not less than 30 days’ but not more than 60
days’ notice by mail, at any time, as a whole or in part, at the election of the Company, at a
redemption price equal to the greater of (i) 100% of the principal amount, together in the case of
any such redemption with accrued and unpaid interest to the redemption date and (ii) the Make-Whole
Amount for the Securities. On or after the redemption date (unless the Company defaults in the
payment of the redemption price and accrued interest) interest will cease to accrue on the
Securities or portions of them called for redemption.



     “Make-Whole Amount” means the sum, as determined by the Quotation Agent (defined below), of
the present values of the Remaining Scheduled Payments (as defined below) on the Securities being
redeemed, discounted to the redemption date on a semi-annual basis, assuming a 360-day year
consisting of twelve 30-day months, at the Adjusted Treasury Rate (defined below), plus accrued and
unpaid interest on the principal amount of the Securities being redeemed to the redemption date.



     “Adjusted Treasury Rate” means, with respect to any redemption date, (i) the yield, under the
heading which represents the average for the immediately preceding week, appearing in the most
recently published statistical release designated “H.15 (519)” or any successor publication which
is published weekly by the Board of Governors of the Federal Reserve System and which establishes
yields on actively traded U.S. Treasury securities adjusted to constant maturity under the caption
“Treasury Constant Maturities,” for the maturity corresponding to the Comparable Treasury Issue (as
defined below) (if



1









 




no maturity is within three months before or after the remaining term of the Securities,
yields for the two published maturities most closely corresponding to the Comparable Treasury Issue
shall be determined and the Adjusted Treasury Rate shall be interpolated or extrapolated from such
yields on a straight-line basis, rounding to the nearest month) or (ii) if such release (or any
successor release) is not published during the week preceding the calculation date or does not
contain such yields, the rate per year equal to the semi-annual equivalent yield to maturity of the
Comparable Treasury Issue assuming a price for the Comparable Treasury Issue (expressed as a
percentage of its principal amount) equal to the Comparable Treasury Price for such redemption
date, in each case calculated on the third Business Day preceding the redemption date, plus
0.20%.




     “Comparable Treasury Issue” means the U.S. Treasury security selected by the Quotation Agent
as having a maturity comparable to the remaining term from the redemption date to the stated
maturity of the Securities that would be utilized, at the time of selection and in accordance with
customary financial practice, in pricing new issues of corporate debt securities of comparable
maturity to the remaining term of the Securities.



     “Comparable Treasury Price” means, with respect to any redemption date, the average of the
Reference Treasury Dealer Quotations for such redemption date, after excluding the highest and
lowest of the Reference Treasury Dealer Quotations; provided, however, that if the Quotation Agent
obtains fewer than four Reference Treasury Dealer Quotations, the Comparable Treasury Price shall
be the average of all Reference Treasury Dealer Quotations so received.



     “Quotation Agent” means the Reference Treasury Dealer selected by the Company to act as
Quotation Agent.



     “Reference Treasury Dealer” means each of Deutsche Bank Securities Inc. and Goldman, Sachs &
Co., and their respective successors, and any other primary United States Government securities
dealers (each a “primary treasury dealer”) specified by the Company from time to time; provided,
however, that if any Reference Treasury Dealer shall cease to be a primary treasury dealer, the
Company shall substitute another primary treasury dealer for such Reference Treasury Dealer.



     “Reference Treasury Dealer Quotation” means, with respect to each Reference Treasury Dealer
and any redemption date, the average, as determined by a Reference Treasury Dealer, of the bid and
asking prices for the Comparable Treasury Issue, expressed in each case as a percentage of its
principal amount, quoted in writing to the trustee by such Reference Treasury Dealer at 5:00 p.m.,
New York City time, on the third Business Day preceding such redemption date.



     “Remaining Scheduled Payments” means the remaining scheduled payments of the principal of and
interest on each Security to be redeemed that would be due after the related redemption date but
for such redemption. If the redemption date is not an interest payment date with respect to the
Security being redeemed, the amount of the next



2









 




succeeding scheduled interest payment on the Security being redeemed will be reduced by the
amount of interest accrued thereon to that redemption date.




          3. Repurchase upon a Change of Control




     If a Change of Control Triggering Event occurs, each Holder of Securities will have the right
to require the Company to purchase all or a portion of such Holder’s Securities (in minimum amounts
of $2,000 and integral multiples of $1,000 in excess thereof) pursuant to the offer
described below (the “Change of Control Offer”) at a purchase price equal to 101% of the principal
amount thereof plus accrued and unpaid interest, if any, to the date of repurchase, subject to the
rights of Holders of Securities on the relevant Regular Record Date to receive interest due on the
relevant Interest Payment Date (the “Change of Control Payment”).



     Within 30 days following any Change of Control Triggering Event, or at the Company’s option,
prior to any Change of Control but after the public announcement of the pending Change of Control,
the Company shall mail a notice to Holders of Securities, with a written copy to the Trustee, which
notice shall govern the terms of the Change of Control Offer. Such notice shall state:




	 	(i)	 	a brief description of the transaction or transactions that constitute the
Change of Control Triggering Event;
	 
	 	(ii)	 	that the Change of Control Offer is being made pursuant to this Section 3 and
that all Securities validly tendered will be accepted for payment;
	 
	 	(iii)	 	the Change of Control Payment and the Change of Control Payment Date, which date shall be a Business Day that is no earlier than 30 days and no
later than 60 days from the date such notice is mailed, other than as may be required
by law (the “Change of Control Payment Date”);
	 
	 	(iv)	 	if the notice is mailed prior to the date of the consummation of the Change
of Control, the notice will state that the Change of Control Offer is conditioned on
the Change of Control Triggering Event occurring on or prior to the Change of Control
Payment Date; and
	 
	 	(v)	 	that Holders of Securities electing to have Securities purchased pursuant to
a Change of Control Offer must surrender their Securities, with the form entitled
“Option of Holder to Elect Repurchase” on the reverse of this Security completed, to
the Paying Agent at the address specified in the notice, or transfer their Securities
to the Paying Agent by book-entry transfer pursuant to the applicable procedures of
the Paying Agent, prior to the close of business on the third Business Day prior to
the Change of Control Payment Date.





     The Company shall comply with the requirements of Rule 14e-1 under the Exchange Act and any
other securities laws and regulations thereunder to the extent those laws and regulations are
applicable in connection with the repurchase of Securities as a result of a Change of Control
Triggering Event. To the extent that the provisions of any securities laws or regulations conflict
with this Section 3, the Company will comply with the applicable securities laws and regulations
and will not be deemed to have breached its obligations under this section by virtue of such
conflicts.



3









 





     Notwithstanding the foregoing, the Company will not be required to make an offer to repurchase
the Securities upon a Change of Control Triggering Event if (i) a third party makes such an offer
in the manner, at the times and otherwise in compliance with the requirements for an offer made by
the Company and such third party purchases all the Securities properly tendered and not withdrawn
under its offer or (ii) the Company has given written notice of a redemption as provided under
“Optional Redemption,” unless the Company has failed to pay the redemption price on the redemption
date.



     “Below Investment Grade Rating Event” means the Securities are rated below an Investment Grade
Rating by each of the Rating Agencies (as defined below) on the 60th day following the occurrence
of a Change of Control (which date shall be extended if the rating of the Securities is under
publicly announced consideration for possible downgrade by any of the Rating Agencies on such 60th
day, such extension to last until the date on which the Rating Agency considering such possible
downgrade either (x) rates the Securities below an Investment Grade Rating or (y) publicly
announces that it is no longer considering the Securities for possible downgrade; provided,
that no such extension shall occur if any of the Rating Agencies rates the Securities with an
Investment Grade Rating that is not subject to review for possible downgrade on such 60th day).



     “Change of Control” means the occurrence of any of the following:




	 	(i)	 	the direct or indirect sale, transfer, conveyance or other
disposition (other than by way of merger or consolidation), in one or more
series of related transactions, of all or substantially all of the Company’s
assets and the assets of its Subsidiaries, taken as a whole, to any person,
other than to the Company or one of its Subsidiaries;
	 
	 	(ii)	 	the consummation of any transaction (including, without
limitation, any merger or consolidation) the result of which is that any person
becomes the beneficial owner (as defined in Rules 13d-3 and 13d-5 under the
Exchange Act), directly or indirectly, of more than 50% of the Company’s
outstanding Voting Stock or other Voting Stock into which the Company’s Voting
Stock is reclassified, consolidated, exchanged or changed, measured by voting
power rather than number of shares;
	 
	 	(iii)	 	the Company consolidates with, or merges with or into, any
person, or any person consolidates with, or merges with or into, the Company, in
any such event pursuant to a transaction in which any of the Company’s
outstanding Voting Stock or the Voting Stock of such other person is converted
into or exchanged for cash, securities or other property, other than any such
transaction where the shares of the Company’s Voting Stock outstanding
immediately prior to such transaction constitute, or are converted into or
exchanged for, a majority of the Voting Stock of the surviving person or any
direct or




4









 












	 	 	 	indirect parent company of the surviving person immediately after giving
effect to such transaction;
	 
	 	(iv)	 	the first day on which a majority of the members of the Board of
Directors of the Company cease to be Continuing Directors; or
	 
	 	(v)	 	the adoption of a plan relating to the liquidation or dissolution
of the Company.






             Notwithstanding the foregoing, a transaction will not be deemed to involve a
Change of Control under clause (ii) above if (1) the Company becomes a direct or
indirect wholly-owned Subsidiary of a holding company and (2)(A) the direct or
indirect holders of the Voting Stock of such holding company immediately following
that transaction are substantially the same as the holders of the Company’s Voting
Stock immediately prior to that transaction or (B) immediately following that
transaction no Person (other than a holding company satisfying the requirements of
this sentence) is the beneficial owner, directly or indirectly, of more than 50% of
the Voting Stock of such holding company. The term “person,” as used in this
definition, has the meaning given thereto in Section 13(d)(3) of the Exchange Act.



     “Change of Control Triggering Event” means the occurrence of both a Change of Control and a
Below Investment Grade Rating Event.



     “Continuing Director” means, as of any date of determination, any member of the Board of
Directors of the Company who:




	 	(i)	 	was a member of such Board of Directors on the date of the
issuance of the Securities; or
	 
	 	(ii)	 	was nominated for election or elected to such Board of Directors
with the approval of a majority of the Continuing Directors who were members of
such Board of Directors at the time of such nomination or election (either by a
specific vote or by approval of the Company’s proxy statement in which such
member was named as a nominee for election as a director, without objection to
such nomination).





     “Fitch” means Fitch, Inc. and its successors.



     “Investment Grade Rating” means a rating equal to or higher than BBB- (or the equivalent) by
Fitch, Baa3 (or the equivalent) by Moody’s and BBB- (or the equivalent) by S&P, or, in each case,
if such Rating Agency ceases to make a rating of the Securities publicly available, the equivalent
investment grade credit rating by the replacement agency selected by the Company in accordance with
the procedures described in the definition of “Rating Agencies” below.



5









 





     “Moody’s” means Moody’s Investors Service, Inc., a subsidiary of Moody’s Corporation, and its
successors.



     “Rating Agencies” means (1) each of Fitch, Moody’s and S&P; and (2) if any of Fitch, Moody’s
or S&P ceases to make a rating of the Securities publicly available, a “nationally recognized
statistical rating organization,” within the meaning of Rule 15c3-1(c)(2)(vi)(F) under the Exchange
Act, selected by the Company (as certified by a resolution of the Company’s Board of Directors) as
a replacement agency for Fitch, Moody’s or S&P, or all of them, as the case may be.



     “S&P” means Standard & Poor’s Rating Services, a division of The McGraw-Hill Companies, Inc.,
and its successors.



     For purposes of Sections 2 and 3 hereof, in the event of redemption or repurchase of this
Security in part only, a new Security or Securities of this series and of like tenor for the
unredeemed portion hereof will be issued in the name of the Holder hereof upon the cancellation
hereof.



          4. Restrictive Covenants




     The restrictions on the Company’s ability to create or incur secured indebtedness (pursuant to
Section 1006 of the Indenture) and to enter into certain sale and leaseback transactions (pursuant
to Section 1009 of the Indenture) will be applicable to Securities of this series.



          5. Defeasance




     The Indenture contains provisions for defeasance at any time of the entire outstanding
indebtedness of this Security and certain restrictive covenants and Events of Default with respect
to this Security, in each case upon compliance with certain conditions set forth in the Indenture.



          6. Events of Default




     If an Event of Default with respect to Securities of this series shall occur and be
continuing, the principal of the Securities of this series may be declared due and payable in the
manner and with the effect provided in the Indenture.



          7. Amendment, Modification and Waiver




     The Indenture permits, with certain exceptions as therein provided, the amendment thereof and
the modification of the rights and obligations of the Company and the rights of the Holders of the
Securities of each series to be affected under the Indenture at any time by the Company and the
Trustee with the consent of the Holders of a majority in principal amount of the Securities at the
time Outstanding of each series to be affected. The Indenture also contains provisions permitting
the Holders of specified



6









 




percentages in principal amount of the Securities of each series at the time Outstanding, on behalf
of the Holders of all Securities of such series, to waive compliance by the Company with certain
provisions of the Indenture and certain past defaults under the Indenture and their consequences.
Any such consent or waiver by the Holder of this Security shall be conclusive and binding upon such
Holder and upon all future Holders of this Security and of any Security issued upon the
registration of transfer hereof or in exchange herefor or in lieu hereof, whether or not notation
of such consent or waiver is made upon this Security.




          8. Limitation on Suits




     As provided in and subject to the provisions of the Indenture, the Holder of this Security
shall not have the right to institute any proceeding with respect to the Indenture or for the
appointment of a receiver or trustee or for any other remedy thereunder, unless such Holder shall
have previously given the Trustee written notice of a continuing Event of Default with respect to
the Securities of this series, the Holders of not less than 25% in principal amount of the
Securities of this series at the time Outstanding shall have made written request to the Trustee to
institute proceedings in respect of such Event of Default as Trustee and offered the Trustee
reasonable indemnity, and the Trustee shall not have received from the Holders of a majority in
principal amount of Securities of this series at the time Outstanding a direction inconsistent with
such request, and shall have failed to institute any such proceeding, for 60 days after receipt of
such notice, request and offer of indemnity. The foregoing shall not apply to any suit instituted
by the Holder of this Security for the enforcement of any payment of principal hereof or any
premium or interest hereon on or after the respective due dates expressed herein.



          9. No Alteration of the Company’s Obligation




     No reference herein to the Indenture and no provision of this Security or of the Indenture
shall alter or impair the obligation of the Company, which is absolute and unconditional, to pay
the principal of (and premium, if any) and interest on this Security at the times, place and rate,
and in the coin or currency, herein prescribed.



          10. Transfer, Form and Denomination




     As provided in the Indenture and subject to certain limitations therein set forth, the
transfer of this Security is registerable in the Security Register, upon surrender of this Security
for registration of transfer at the office or agency of the Company in any place where the
principal of (and premium, if any) and interest on this Security are payable, duly endorsed by, or
accompanied by a written instrument of transfer in form satisfactory to the Company and the
Security Registrar duly executed by, the Holder hereof or his attorney duly authorized in writing,
and thereupon one or more new Securities of this series and of like tenor, of authorized
denominations and for the same aggregate principal amount, will be issued to the designated
transferee or transferees.



7









 





     The Securities of this series are issuable only in registered form without coupons in
denominations of $2,000 and integral multiples of $1,000 above that amount. As provided in the
Indenture and subject to certain limitations therein set forth, Securities of this series are
exchangeable for a like aggregate principal amount of Securities of this series and of like tenor
of a different authorized denomination, as requested by the Holder surrendering the same.



     No service charge shall be made for any such registration of transfer or exchange, but the
Company may require payment of a sum sufficient to cover any tax or other governmental charge
payable in connection therewith.



     Prior to due presentment of this Security for registration of transfer, the Company, the
Trustee and any agent of the Company or the Trustee may treat the Person in whose name this
Security is registered as the owner hereof for all purposes, whether or not this Security be
overdue, and neither the Company, the Trustee nor any such agent shall be affected by notice to the
contrary.



     All terms used in this Security that are defined in the Indenture shall have the meaning
assigned to them in the Indenture.



8









 




Option of Holder to Elect Repurchase



If you want to elect to have this Security purchased by the Company pursuant to the Indenture,
check the box below:



o



If you want to elect to have only part of the Security purchased by the Company pursuant to the
Indenture and the terms of the Security, state the amount you elect to have purchased:




$                    




(must be a minimum amount of $2,000 and integral multiples of $1,000 in excess thereof)



Date:                     



Your
Signature:                               
                       
                              
          
                      




(Sign
exactly as your name appears on the face of this Security)

Tax Identification No.:                                                                                                                                                                                         



Signature Guarantee:**                                                                                                                                                                                         






 




			
	** 	 	Participant in a recognized Signature Guarantee Medallion Program (or other signature
guarantor acceptable to the Trustee)




 









 










Assignment Form



To assign this Security, fill in the form below: (I) or (we) assign and transfer this Security to:



Assignee’s social security or tax I.D. number: 





Assignee’s name, address and zip code: 





 




and irrevocably appoint      
                                                      as
agent to transfer this Security on the books of the Company. The agent may substitute another to
act for him.



Date:                                         



Your Signature:                                                                  
               



                           (Sign exactly as your name appears on the face of this Security)



Signature Guarantee:                                                             



          
                         (Participant in a Recognized Signature Guaranty Medallion Program)