Exhibit 10.5
                               SECOND AMENDMENT TO
                      IMS HEALTH INCORPORATED SAVINGS PLAN
                        Effective as of September 1, 1999

1.   Article 1 of the IMS Health Incorporated Savings Plan (the "Plan") is
     hereby amended by adding the following new Section 1.24a to read in its
     entirety as follows:

     "1.24a `Emron Plan' shall mean the Emron, Inc. 401(k) Savings & Investment
     Plan."

2.   Section 7.1(a) of the Plan is hereby amended by adding the following new
     sentence to the end thereof:

     "For a Member whose account balance under the Emron Plan was transferred to
     this Plan, the value of such transferred account which is attributable to
     his or her pre-tax contributions to the Emron Plan shall also be accounted
     for in his or her Pre-tax Account."

3.   Section 7.1(d) of the Plan is hereby amended by adding the following new
     sentence to the end thereof:

     "For a Member whose account balance under the Emron Plan was transferred to
     this Plan, the value of such transferred account which is attributable to
     employer contributions to the Emron Plan shall also be accounted for in his
     or her Employer Account."

4.   Section 7.1(e) of the Plan is hereby amended by adding the following new
     sentence to the end thereof:

     "For a Member whose account balance under the Emron Plan was transferred to
     this Plan, the value of such transferred account which is attributable to a
     promissory note due to a loan under the Emron Plan shall also be accounted
     for in his or her Loan Account."

5.   Section 9.1 of the Plan is hereby amended by adding the following new
     subsection (e) to the end thereof to read in its entirety as follows:

     "(e) A Member whose account balance under the Emron Plan was transferred to
     this Plan may make a withdrawal of an amount up to the amounts so
     transferred into his or her Employer Account, Pre-tax Account and Loan
     Account at any time after attaining the age of 60."

6.   Section 10.3 of the Plan is hereby amended by adding the following sentence
     to the end of subsection (e) thereof:

     "Notwithstanding the foregoing, a Member whose account balance under the
     Emron Plan was transferred to this Plan shall not have a vested portion of
     his or her Employer

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     Account less than his or her nonforfeitable percentage of employer
     contributions under the Emron Plan as of the date of such transfer."

7.   Section 11.1 of the Plan is hereby amended by adding the following new
     paragraph to the end thereof:

     "Notwithstanding the foregoing, a Member whose account balance under the
     Emron Plan was transferred to this Plan may elect to receive distribution
     of an amount up to the amounts so transferred into his or her Employer
     Account, Pre-tax Account and Loan Account under one or any combination of
     the following methods: (1) by payment in a lump sum, or (2) by payment in
     monthly, quarterly or annual installments over a fixed reasonable period of
     time, not exceeding the life expectancy of the Member, or the joint life
     and last survivor expectancy of the Member and his or her Beneficiary."

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