# FOURTH AMENDMENT TO AMENDED AND RESTATED
CREDIT AGREEMENT

THIS
FOURTH AMENDMENT TO CREDIT AGREEMENT (this Amendment) is made and
entered into as of this 1st day of June, 2004, among PSS World Medical, Inc., a
Florida corporation (PSS), Gulf South Medical Supply, Inc., a
Delaware corporation (Gulf South), and Physician Sales &
Services Limited Partnership, a Florida limited partnership (PSS
LP; PSS, Gulf South and PSS LP 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.
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| | 2.                        The
Credit Agreement is amended by deleting the reference to           $42,000,000 contained
in clause (a)of the definition of           Permitted Stock Redemptions set
forth in Appendix A to the           Credit Agreement and replacing such reference with
$55,000,000.          Borrowers acknowledge that, as of the date hereof, the
aggregate redemption           price for all redemptions of capital stock of PSS that
have occurred on or after           the Closing Date equals $40,633,292.
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| | 3.              
The Agent and Lenders hereby consent to the creation and existence of WorldMed Shared Services, Inc. (WorldMed), a Florida corporation and wholly owned
subsidiary of PSS, provided that, notwithstanding Section 7.20 of the Credit Agreement, World Med becomes a Borrower under the Credit
Agreement and a Grantor under the Security Agreement on the date hereof pursuant to a Joinder Agreement in the form attached hereto as Exhibit A.
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| | 4.                        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.
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| | 5.                        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.
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| | 6.                        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.
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| | 7.                        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.
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| | 8.                        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.
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| | 9.                        Borrowers
and Guarantors agree to take such further action as the Agent shall           reasonably
request in connection herewith to evidence the agreements herein           contained.
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| | 10.                        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.
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| | 11.                        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.
| | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | 12.                        This
Amendment shall be governed by, and construed in accordance with, the laws of
the State of Georgia.
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[Signatures commence on
following page.]

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

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|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |  | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
|BORROWERS:
          
          
          
          
          
          
          
          
          
          
          
          
          
          GUARANTORS |  | 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
 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

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|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |  | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
|LENDERS:
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          
          AGENT: |  | THRIFTYMED, 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
 BANK OF AMERICA, N.A.
 By:  /s/ Mark Herdman
 Name:  Mark Herdman
 Title:  Vice President
 GENERAL ELECTRIC CAPITAL CORPORATION
 By:  /s/ Steven Wagnblas
 Name:  Steve Wagnblas
 Title:  Duly Aughorized Signatory
 FLEET CAPITAL CORPORATION
 By:_________________________________
 Name:_______________________________
 Title:________________________________
 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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Exhibit A

# JOINDER AGREEMENT

THIS
JOINDER AGREEMENT (the Agreement), dated as of June 1, 2004, is among
WorldMed Shared Services,Inc., a Florida corporation (WorldMed),
PSS World Medical, Inc., a Florida corporation (PSS), Gulf South
Medical Supply, Inc., a Delaware corporation (Gulf South), Physician
Sales & Service Limited Partnership, a Florida limited partnership (PSS
LP; PSS, Gulf South and PSS LP shall sometimes be referred to herein individually as
a Borrower, and collectively as the Borrowers), Ancillary
Management Solutions, Inc., a Tennessee corporation (AMS), Highpoint
Healthcare Distribution, Inc., a Nevada corporation (Highpoint
Healthcare), ProClaim, Inc., a Tennessee corporation (ProClaim),
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 and Service), and
ThriftyMed, Inc., a Florida corporation (ThriftyMed; AMS, Highpoint
Healthcare, ProClaim, PSS Holding, PSS Service, Physician Sales and Service and ThriftyMed
shall sometimes be referred to herein individually as a Guarantor, a
collectively as the Guarantors, and Bank of America, N.A., as agent
(together with its successors and assigns in such capacity, Agent) for the
below referenced Lenders under that certain Amended and Restated Credit Agreement dated as
of May 20, 2003 (as amended, restated, supplemented or otherwise modified, the
Credit Agreement) , by and among the financial institutions from time to time
parties thereto (the Lenders), the Agent, as agent for the Lenders, Borrowers
and Guarantors. All of the defined terms in the Credit Agreement are incorporated herein
by reference, unless otherwise defined herein.

WITNESSETH:

WHEREAS,
on March 11, 2004, WorldMed was incorporated as a wholly owned subsidiary of PSS.

WHEREAS, the
parties hereto desire that WorldMed become a Borrower pursuant to the terms of
the Credit Agreement.

WHEREAS,
the parties hereto desire that WorldMed becomes a Grantor pursuant to the
terms of that certain Amended and Restated Security Agreement dated as of May 20, 2003 (as
amended, restated, supplemented or otherwise modified, the Security
Agreement), by and among Borrowers and the Guarantors (collectively,
Grantors) and the Agent.

NOW,
THEREFORE, in consideration of the mutual conditions and agreements set forth in this
Agreement, and for other good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, WorldMed, the Lenders, the Agent, the Borrowers and the
Guarantors hereby agree as follows:

1.       
          WorldMed hereby acknowledges, agrees and confirms that, by its execution of this
          Agreement, WorldMed will be deemed to be a party to the Credit Agreement as a
          Borrower and an Obligor for all purposes under the
          Credit Agreement, and shall have all of the obligations of a Borrower and an
          Obligor thereunder as if it had executed the Credit Agreement. WorldMed hereby
          ratifies, as of the date hereof, and agrees to be bound by, all of the terms,
          provisions and conditions contained in the Credit Agreement and in the Loan
          Documents which are binding on the Borrowers, including without limitation (a)
          all of the representations and warranties of the Obligors set forth in Article 6
          of the Credit Agreement, and (b) all of the covenants of the Obligors set forth
          in Article 7 of the Credit Agreement.

2.       
          Without limiting the generality of the foregoing terms of Paragraph 1, WorldMed
          hereby acknowledges, agrees and confirms that, by its execution of this
          Agreement, WorldMed will be deemed to be a party to the Security Agreement for
          all purposes under the Security Agreement, and shall have all of the obligations
          of a Grantor for all purposes as if its had executed the Security Agreement.
          WorldMed hereby ratifies, as of the date hereof, and agrees to be bounds by, all
          of the terms, provisions and conditions contained in the Security Agreement
          which are binding upon the Grantors thereto, including, without limitation (a)
          all of the representations and warranties of the Grantors set forth in the
          Security Agreement, (b) all of the covenants set forth in the Security Agreement
          and (c) the grant to the Agent of a continuing security interest in and lien
          upon any and all right, title and interest of WorldMed in and to the Collateral
          (as defined therein).

3.       
          The Credit Agreement is hereby amended by replacing Schedules 6.3, 6.4, 6.5,
          6.7, 6.11 and 6.27 of the Credit Agreement with the respective new Schedules
          6.4, 6.5, 6.7, 6.11 and 6.27 to the Credit Agreement attached hereto.

4.       
          The Security Agreement is hereby amended by replacing Schedules I, II, and III
          of the Security Agreement with the respective new Schedules I, 11, and III to
          the Security Agreement attached hereto.

5.       
          WorldMed acknowledges and confirms that it has received a copy of the Credit
          Agreement and the Security Agreement and the respective Annexes, Schedules and
          Exhibits thereto.

6.       
          The Obligors confirm that all of the Obligors obligations under the Credit
          Agreement are, and upon WorldMed becoming a Borrower, shall continue to be, in
          full force and effect. The Obligors further confirm that, immediately upon
          WorldMed becoming a Borrower, the term Obligations, as used in the
          Credit Agreement, shall include all obligations of WorldMed under the Credit
          Agreement and under each of the Loan Documents to which it is or at any time
          hereafter becomes a party.

7.       
          Without limiting the generality of the foregoing, each Guarantor hereby confirms
          that the obligations guaranteed by the Guarantors under the Credit Agreement
          include all Obligations, as used in the Credit Agreement, including,
          without limitation, the Obligations of WorldMed under the Credit Agreement after
          giving effect to the joinder of WorldMed as a Borrower as contemplated by this
          Agreement. Each Guarantor hereby also acknowledges that its Obligations under
          the Credit Agreement are not subject to any existing defense, claim,
          counterclaim or right of offset.

8.       
          The Obligors (including WorldMed) agree that at any time and from time to time,
          upon the written request of the Agent, they will execute and deliver such
          further documents and do such further acts and things as the Agent may
          reasonably request in order to effect the purposes of this Agreement.

9.       
          This Agreement may be executed in two or more counterparts, each of which shall
          constitute and original but all of which when taken together shall constitute
          one contract.

10.       
          This Agreement shall be governed by and construed and interpreted in accordance
          with the laws of the State of Georgia.

[Signatures appear on
following pages]

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IN
WITNESS WHEREOF, each of the parties hereto have caused this Agreement to be duly executed
by its authorized officers as of the day and year first written above.

| |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
| | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
| | WORLDMED SHARED SERVICES, INC.
    By:_________________________________
         Name:___________________________
         Title:____________________________
    BORROWERS:
    PSS WORLD MEDICAL, INC.
    By:_________________________________
         Name:___________________________
         Title:____________________________
    GULF SOUTH MEDICAL SUPPLY, INC.
    By:_________________________________
         Name:___________________________
         Title:____________________________
    PHYSICIAN SALES & SERVICES     LIMITED PARTNERSHIP

    By:_________________________________
         Name:___________________________
         Title:____________________________
   GUARANTORS:
    PSS HOLDING, INC.
    By:_________________________________
         Name:___________________________
         Title:____________________________
    PSS SERVICE, INC.
    By:_________________________________
         Name:___________________________
         Title:____________________________

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| | PHYSICIAN SALES & SERVICE, INC.
    By:_________________________________
         Name:___________________________
         Title:____________________________
    THRIFTYMED, INC.
    By:_________________________________
         Name:___________________________
         Title:____________________________
    HIGHPOINT HEALTHCARE DISTRIBUTION, INC.
    By:_________________________________
         Name:___________________________
         Title:____________________________
    PROCLAIM, INC.
    By:_________________________________
         Name:___________________________
         Title:____________________________
    ANCILLARY MANAGEMENT SOLUTIONS, INC.
    By:_________________________________
         Name:___________________________
         Title:____________________________
    AGENT:
    BANK OF AMERICA, N.A.
    By:_________________________________
         Name:___________________________
         Title:____________________________