Exhibit 10.5

# FIFTH AMENDMENT TO
AMENDED AND RESTATED CREDIT AGREEMENT

THIS
FIFTH AMENDMENT TO CREDIT AGREEMENT (this Amendment) is made and
entered into as of this 1st day of October, 2004, among PSS World Medical, Inc., a
Florida corporation (PSS), Gulf South Medical Supply, Inc., a
Delaware corporation (Gulf South), Physician Sales & Services
Limited Partnership, a Florida limited partnership (PSS LP), and
WorldMed Shared Services, Inc., a Florida corporation (WorldMed;
PSS, Gulf South, PSS LP and WorldMed are referred to hereinafter each individually as a
Borrower and collectively as Borrowers), PSS
Holding, Inc., a Florida corporation (PSS Holding), PSS Service,
Inc., a Florida corporation (PSS Service), Physician Sales &
Service, Inc., a Florida corporation (Physician Sales &
Service), Highpoint Healthcare Distribution, Inc., a Nevada corporation
(Highpoint Healthcare), ProClaim, Inc., a Tennessee corporation
(ProClaim), Ancillary Management Solutions, Inc., a Tennessee
corporation (Ancillary), and ThriftyMed, Inc., a Florida
corporation (ThriftyMed; PSS Holding, PSS Service, Physician Sales
& Service, Highpoint Healthcare, ProClaim, Ancillary and ThriftyMed are referred to
hereinafter each individually as a Guarantor and collectively as
Guarantors), the Lenders party to this Amendment (the
Lenders), and Bank of America, N.A., as Agent for the Lenders
(the Agent).

W  I  T  N  E  S  S  E  T  H

WHEREAS,
Borrowers, Guarantors, the Lenders and the Agent entered into that certain Amended and
Restated Credit Agreement, dated as of May 20, 2003, pursuant to which the Lenders agreed
to make certain loans to Borrowers (as amended, modified, supplemented and restated from
time to time, the Credit Agreement); and

WHEREAS,
Borrowers, Guarantors, the Lenders and the Agent desire to enter into this Amendment for
the purpose of amending the Credit Agreement in certain respects.

NOW,
THEREFORE, in consideration of the foregoing premises, and other good and valuable
consideration, the receipt and legal sufficiency of which are hereby acknowledged, the
parties hereto hereby agree as follows:

| | 1.        All
capitalized terms used herein and not otherwise expressly defined herein shall
have the respective meanings given to such terms in the Credit Agreement.
| | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 2.        The
Credit Agreement is hereby amended as follows:
| | ------------------------------------------------------------

| | (a)        By
deleting the reference to March 31, 2005 contained in Section 3.2
          of the Credit Agreement and by substituting in lieu thereof a reference to
          March 31, 2007".
| | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | (b)       By
deleting Section 5.2(l) of the Credit Agreement in its entirety and by
          substituting in lieu thereof the following new Section 5.2(l):
| | ------------------------------------------------------------------------------------------------------------------------------------------------------------

| | (l)        No
later than five Business Days after the date of the most recent Borrowing Base
Certificate, an updated Borrowing Base Certificate as of a date subsequent  to the date
of such prior Borrowing Base Certificate, together with allsupporting information with
respect thereto in accordance with Section 9 of the Security Agreement, provided,
however, that at any time Excess Availability is equal to or greater than
$60,000,000, the Agent may, in  its discretion and without the need for any further
approval or consent from any of the Lenders, permit the Borrowers to provide, following
written notice to the  Borrower from Agent, such updated Borrowing Base Certificate and
supporting  information up to five Business Days following the last day of the most
recent fiscal month ended.
| | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | (c)       By
deleting the definition of Applicable Margin contained in Annex A
          to the Credit Agreement and by substituting in lieu thereof the following new
          definition:
| | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | Applicable
Marginmeans
| | ------------------------

| | (i)        with
respect to Base Rate Loans and all other Obligations (other than LIBOR
                    Loans and Letter of Credit Fees),
| | --------------------------------------------------------------------------------------------------------------------------------------------

| | (a)        through
September 30, 2004, 0.00%; and
| | -------------------------------------------------

| | (b)        
from October 1, 2004 to the date on which such Applicable Margin is adjusted as
          provided herein, (0.25%); and
| | -----------------------------------------------------------------------------------------------------------------------------------

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| | (ii)       with
respect to LIBOR Loans,
| | ---------------------------------------

| | (a)        
through September 30, 2004, 2.00%; and
| | --------------------------------------------------

| | (b)        
from October 1, 2004 to the date on which such Applicable Margin is adjusted as
          provided herein, 1.75%.
| | -----------------------------------------------------------------------------------------------------------------------------

| | The
Applicable Margins shall be adjusted (up or down) prospectively on a quarterly basis as
determined by the Leverage Ratio, commencing with the first day of the first calendar
month that occurs more than 5 days after delivery of the Borrowers quarterly
Financial Statements to Lenders for the fiscal quarter ending March 26, 2005. Adjustments
in Applicable Margins shall be determined by reference to the following grids:
| | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|If the Ratio of AdjustedFunded Debt to EBITDA is: | Level ofApplicable Margins:
|------------------------------------------------- | ---------------------------
|> 3.5 to 1.0                                      | Level I                    
|> 3.0 to 1.0 but < 3.5 to 1.0                     | Level II                   
|> 2.5 to 1.0 but < 3.0 to 1.0                     | Level III                  
|> 2.0 to 1.0 but < 2.5 to 1.0                     | Level IV                   
|< 2.0 to 1.0                                      | Level V                    

|                | Applicable Margins
|--------------- | ------------------
|
|Base Rate Loans | 0.50%             
|LIBOR Loans     | 2.50%             

| | All
adjustments in the Applicable Margins after the adjustments with respect to the fiscal
quarter ending March 26, 2005 shall be implemented quarterly on a prospective basis, for
each calendar month commencing at least 5 days after the date of delivery to the Lenders
of quarterly unaudited or annual audited (as applicable) Financial Statements evidencing
the need for an adjustment. Concurrently with the delivery of those Financial Statements,
the Borrowers shall deliver to the Agent and the Lenders a certificate, signed by a
Designated Financial Officer, setting forth in reasonable detail the basis for the
continuance of, or any change in, the Applicable Margins. In the event that, subsequent to
the setting of the Applicable Margins based on the Borrowers unaudited Financial
Statements as of the end of the last fiscal quarter of any Fiscal Year, the Borrowers
deliver their audited Financial Statements as of the end of such Fiscal Year and such
audited Financial Statements call for a higher level set forth in the foregoing grid, such
higher level shall apply retroactively to the date of the setting of the Applicable
Margins based on such unaudited Financial Statements. Failure to timely deliver such
Financial Statements shall, at the election of the Agent and in addition to any other
remedy provided for in the Agreement, result in an increase in the Applicable Margins to
the highest level set forth in the foregoing grid, until the first day of the first
calendar month following the delivery of those Financial Statements demonstrating that
such an increase is not required. If a Default or Event of Default has occurred and is
continuing at the time any reduction in the Applicable Margins is to be implemented, no
reduction may occur until the first day of the first calendar month following the date on
which such Default or Event of Default is waived or cured.
| | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | The
foregoing Applicable Margins and corresponding interest rates shall supersede those
interest rates stated in the Third Amendment to Loan and Security Agreement dated March 1,
2004.
| | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | (d)       By
deleting the definition of Early Termination Fee set forth in           Annex
A to the Credit Agreement and by substituting in lieu thereof the           following new
definition:
| | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | Early
Termination Fee means the fee due and payable to the Agent, for the benefit of
the Lenders in accordance with their Pro Rata Shares, in an amount equal to one percent
(1%) of the Maximum Revolver Amount if the Agreement is terminated by the Borrowers prior
to March 31, 2007; provided, however, no such fee shall be due and payable
if the Agreement is terminated in connection with a refinancing in full of the
Obligations under the Agreement with another lending department of the Bank.
| | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | (e)       By
deleting clause (b) from the definition of Permitted Acquisition          set
forth in Annex A to the Credit Agreement and by substituting in lieu thereof
          the following new clause (b):
| | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

---

| | (b)       
               the purchase price for such acquisition does not exceed $10,000,000 individually
               (or $30,000,000 in the case of the contemplated acquisition of Skoronski
               Corporation) or $75,000,000 in the aggregate for all such acquisitions (it being
               understood that (i) purchase price shall include all cash paid at closing, all
               Debt described in Section 7.13(f), and all other purchase price
               consideration (other than good faith earn out consideration not
               intended as a substitute for cash consideration to circumvent the limitations
               contained in this definition) in connection with such acquisition, and (ii) such
               $75,000,000 aggregate amount shall be calculated by adding the purchase price
               from all acquisitions consummated on or after May 20, 2003 through and including
               the Termination Date);
| | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

(f)       
          By deleting the reference to $55,000,000 contained in the definition
          of Permitted Stock Redemptions set forth in Annex A to the Credit
          Agreement and by substituting in lieu thereof a reference to
          $80,000,000".

(g)       
          By deleting the definition of Stated Termination Date set forth in
          Annex A to the Credit Agreement and by substituting in lieu thereof the
          following new definition:

| | Stated
Termination Date means March 31, 2008.
| | -----------------------------------------------

(h)       
          By deleting Schedule 1.1 of the Credit Agreement and replacing it with
          the Schedule 1.1 attached hereto.

3.       
          The effectiveness of this Amendment is expressly conditioned upon the following:

| | (a)       the
due execution and delivery of this Amendment by each of the parties hereto;           and
| | -------------------------------------------------------------------------------------------------------

| | (b)       
               the delivery to the Agent of such affidavits and other items as the Agent may
               require evidencing that this Amendment has been executed and delivered by
               Borrowers and Guarantors outside of the State of Florida.
| | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

4.       
          To induce the Agent and the Lenders to enter into this Amendment, Borrowers and
          Guarantors hereby represent and warrant that, as of the date hereof, there
          exists no Default or Event of Default under the Credit Agreement.

5.       
          Borrowers and Guarantors hereby restate, ratify, and reaffirm each and every
          term, condition, representation and warranty heretofore made by each of them
          under or in connection with the execution and delivery of the Credit Agreement,
          as modified hereby, and the other Loan Documents, as fully as though such
          representations and warranties had been made on the date hereof and with
          specific reference to this Amendment, except to the extent that any such
          representation or warranty relates solely to a prior date.

6.       
          Except as expressly set forth herein, the Credit Agreement and the other Loan
          Documents shall be and remain in full force and effect as originally written,
          and shall constitute the legal, valid, binding and enforceable obligations of
          Borrowers and Guarantors to the Agent and the Lenders.

7.       
          Borrowers agree to pay on demand all reasonable costs and expenses of the Agent
          in connection with the preparation, execution, delivery and enforcement of this
          Amendment and all other Loan Documents and any other transactions contemplated
          hereby, including, without limitation, the reasonable fees and out-of-pocket
          expenses of legal counsel to the Agent.

8.       
          Borrowers and Guarantors agree to take such further action as the Agent shall
          reasonably request in connection herewith to evidence the agreements herein
          contained.

9.       
          This Amendment may be executed in any number of counterparts and by different
          parties hereto in separate counterparts, each of which, when so executed and
          delivered, shall be deemed to be an original and all of which counterparts,
          taken together, shall constitute but one and the same instrument.

10.       
          This Amendment shall be binding upon and inure to the benefit of the successors
          and permitted assigns, and legal representatives and heirs, of the parties
          hereto.

11.       
          This Amendment shall be governed by, and construed in accordance with, the laws
          of the State of Georgia.

[Signatures commence on
following page.]

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IN
WITNESS WHEREOF, Borrowers, Guarantors, the Agent and the Lenders have caused this Fifth
Amendment to be duly executed as of the date first above written.

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|BORROWERS: 
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    GUARANTORS:

                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    LENDERS:            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    
                    AGENT: |  | PSS WORLD MEDICAL, INC.
By:  /s/ David D. Klarner
Name:   David D. Klarner
Title:     Vice President
GULF SOUTH MEDICAL SUPPLY, INC.
By:  /s/ David D. Klarner
Name:   David D. Klarner
Title:     Vice President
PHYSICIAN SALES & SERVICE
LIMITED PARTNERSHIP
By:  PSS World Medical, Inc.,
         Its general partner
         By:  /s/ David D. Klarner
          Name:   David D. Klarner
          Title:     Vice President
WORLDMED SHARED SERVICES, INC.
By:  /s/ David D. Klarner
Name:   David D. Klarner
Title:     Vice President
PSS HOLDING, INC.
By:  /s/ David D. Klarner
Name:   David D. Klarner
Title:     Vice President
PSS SERVICE, INC.
By:  /s/ David D. Klarner
Name:   David D. Klarner
Title:     Vice President
PHYSICIAN SALES & SERVICE, INC.
By:  /s/ David D. Klarner
Name:   David D. Klarner
Title:     Vice President
HIGHPOINT HEALTHCARE
DISTRIBUTION, INC.
By:  /s/ David D. Klarner
Name:   David D. Klarner
Title:     Vice President


PROCLAIM, INC.
By:  /s/ David D. Klarner
Name:   David D. Klarner
Title:     Vice President
ANCILLARY MANAGEMENT
SOLUTIONS, INC.
By:  /s/ David D. Klarner
Name:   David D. Klarner
Title:     Vice President
THRIFTYMED, INC.
By:  /s/ David D. Klarner
Name:   David D. Klarner
Title:     Vice President
BANK OF AMERICA, N.A.
By:  /s/ Mark Herdman
Name:   Mark Herdman
Title:     Vice President
GENERAL ELECTRIC CAPITAL CORPORATION
By:  /s/ Steve Wagnblas
Name:   Steve Wagnblas
Title:     Duly Authorized Signatory
WACHOVIA BANK, NATIONAL ASSOCIATION
By:  /s/ Brian R. O'Fallon
Name:   Brian R. O'Fallon
Title:     Director
THE CIT GROUP/BUSINESS CREDIT, INC.
By:  /s/ Arthur R. Cordwell Jr.
Name:   Arthur R. Cordwell Jr.
Title:     Vice President
BANK OF AMERICA, N.A.
By:  /s/ Mark Herdman
Name:   Mark Herdman
Title:     Vice President

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# SCHEDULE 1.1

# COMMITMENTS

|Lender                               | Commitment  | Pro Rata Share
|------------------------------------ | ----------- | --------------
|Bank of America, N.A                 | $88,000,000 | 44.00%        
|General Electric Capital Corporation | $47,000,000 | 23.50%        
|Wachovia Bank, National Association  | $35,000,000 | 17.50%        
|The CIT Group/Business Credit, Inc.  | $30,000,000 | 15.00%