Exhibit 10.4a

PSS WORLD MEDICAL,
INC.  AMENDED AND RESTATED ELITe STOCK OPTION GRANT PROGRAM (as amended through
July 1, 2004)

# ARTICLE 1 BACKGROUND AND PURPOSE

|1.01 | Purpose.
PSS World Medical, Inc. (f/k/a Physician Sales & Service, Inc.) desires to recognize
the valuable contribution of its CEO Roundtable and Challenger sales force and other
selected executives by providing the ELITe Program. Historically, the program has
consisted of two parts: (i) the ELITe Deferred Compensation Plan, under which
participants may voluntarily defer compensation, which, together with a Company matching
contribution on deferrals of up to 10% of Compensation, will earn a return based on the
performance of one or more benchmark investments, and (ii) this ELITe Stock Option Grant
Program, which provides participants in the ELITe Deferred Compensation Plan the
opportunity to purchase Company stock when the growth in the stock value exceeds a
designated formula amount. From and after July 1, 2004, no further options will be
granted under the ELITe Program. This program document is hereby amended to reflect that
no Options will be granted hereunder from and after July 1, 2004, but the program will
otherwise remain in effect to govern the terms of any Options granted prior to July 1,
2004 while they remain outstanding.
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|1.02 | Employee
Stock Option Plan. The Company maintains the Physician Sales &Service, Inc.
Amended and Restated 1994 Long Term Stock Plan, the PSS World Medical, Inc. 1999
Broad-Based Employee Stock Plan and the PSS World Medical, Inc. 1999 Long-Term Incentive
Plan, or any successor plan(s) (the Employee Stock Option Plan), under which
the Compensation Committee of the Board of Directors has the discretion to grant to
selected employees of the Company options to acquire common stock of the Company.
Pursuant to such authority under the Employee Stock Option Plan, the Compensation
Committee established, effective as of July 1, 1997, as a grant program for awards to
participants in the ELITe Deferred Compensation Plan, this ELITe Stock Option Grant
Program. Options granted pursuant to this program were issued under, and shall continue
to be subject to the terms and conditions of, the Employee Stock Option Plan.
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# ARTICLE 2 DEFINITIONS

|2.01 | Definitions.
Certain terms used herein have defined meanings set forth in this Article and which shall
govern unless the context in which they are used clearly indicates that some other
meaning is intended.
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| | Beneficiary.  Any person or persons designated by a Participant, in accordance with
                    procedures established by the Committee or Program Administrator, to receive
                    benefits hereunder in the event of the Participants death. If any
                    Participant shall fail to designate a Beneficiary or shall designate a
                    Beneficiary who shall fail to survive the Participant, the Beneficiary shall be
                    the Participants surviving spouse, or, if none, the Participants
                    surviving descendants (who shall take per stirpes) and if there are no surviving
                    descendants, the Beneficiary shall be the Participants estate.
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| | Board.  The Board of Directors of the Company.
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| | CEO
Roundtable Member.  A member of the CEO Roundtable sales force of the Company, as
recognized from time to time by the Companys management and the Board.
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| | Challenger.  A member of the Challenger sales force of the Company, as recognized from time
                    to time by the Companys management and the Board.
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| | Committee.  The committee of the Board described in Article 3.
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| | Company.  PSS World Medical, Inc. (f/k/a Physician Sales & Service, Inc.) and its
                    corporate successors.
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| | Deferred Compensation Plan.   The  PSS  World  Medical,   Inc.  Amended  and  Restated  ELITe
 Deferred Compensation Plan, as amended from time to time.
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| | Designated
Interest Rate.  A rate to be determined annually by the Board, but which shall not be
less than the 90 day U.S. Treasury Bill rate in effect on the first date of the Plan Year.
The Designated Interest Rate, as last determined by the Board, was 5.13%.
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| | Disability.  A Disability as defined in the Employee Stock Option Plan.
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| | Effective
Date.  July 1, 1997.
| | ------------------------------

| | Employee
Stock Option Plan.  The Physician Sales & Service, Inc. Amended and Restated 1994
Long Term Stock Plan, as amended from time to time, the PSS World Medical, Inc. 1999
Broad-Based Employee Stock Plan, as amended from time to time or the PSS World Medical,
Inc. 1999 Long-Term Incentive Plan, as amended from time to time.
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| | Fair
Market Value.  The Fair Market Value of a share of Stock, as defined in the applicable
Employee Stock Option Plan under which an Option is granted.
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| | Normal
Retirement.  Termination of Employment after age 60, or after age 55 with ten years of
prior service with the Company or any of its affiliates.
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| | Option.  A right granted to a Participant pursuant to the Option Grant Program to
                    purchase Stock at a specified price during specified time periods. Options
                    granted pursuant to the Option Grant Program were granted under, and pursuant to
                    the terms and conditions of, the applicable Employee Stock Option Plan.
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| | Option
Agreement.  Any written agreement, contract, or other instrument or document
evidencing an Option.
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| | Option
Grant Program.  The PSS World Medical, Inc. Amended and Restated ELITe Stock Option
Grant Program as set forth in this document, together with any subsequent amendments
hereto.
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| | Participant.  Any CEO Roundtable Member, Challenger or Selected Executive who has been
                    granted an Option pursuant to the Option Grant Program.
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| | Plan
Year.  A Plan Year under the ELITe Deferred Compensation Plan, which currently is the
twelve-month period from July 1 of each year though June 30 of the following calendar
year; provided, however, that Plan Year 2002 shall mean the 15-month period from April 1,
2001 to June 30, 2002. Thereafter, Plan Year 2003 for example, shall mean the
year ended June 30, 2003, and so on.
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| | Program
Administrator.  The Committee or its delegee of administrative duties under the Option
Grant Program pursuant to Section 3.02.
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| | Selected
Executive.  With respect to a Plan Year, an executive employee of the Company or any of
its affiliates who has been selected by the Committee to be an eligible participant in the
ELITe Deferred Compensation Plan for such Plan Year.
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| | Stock.  The $0.01 par value common stock of the Company and such other securities of
                    the Company as may be substituted for Stock pursuant to the Employee Stock
                    Option Plan.
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| | Termination
of Employment.  A Termination of Employment occurs when a Participant ceases for any
reason to be an employee of the Company or any of its affiliates.
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# ARTICLE 3 ADMINISTRATION OF THE
OPTION GRANT PROGRAM

|3.01 | Administration.
 The Option Grant Program shall be  administered  by the Committee  that  administers
 the  Employee Stock Option Plan.
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|3.02 | Authority
of Committee. The Committee shall have the powers and authority set forth in the
Employee Stock Option Plan, including, without limitation, full power and authority to:
(i) interpret and construe the Option Grant Program and adopt such rules and regulations
as it shall deem necessary and advisable to implement and administer the Option Grant
Program, (ii) decide all matters that must be determined in connection with an Option
(consistent with the provisions of the Employee Stock Option Plan), and (iii) do all
things necessary to operate and administer the Option Grant Program in accordance with
its provisions. The Committee may delegate administrative duties under the Option Grant
Program to one or more agents as it shall deem necessary or advisable. Unless and until
revoked by the Committee, the Committee hereby designates the Plan Administrator of the
Deferred Compensation Plan to serve as the Program Administrator to perform the Committees
administrative duties under the Option Grant Program.
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|3.03 | Effect
of Committee Determinations. No member of the Committee or the Board or the Program
Administrator shall be personally liable for any action or determination made in good
faith with respect to the Option Grant Program or to any settlement of any dispute
between a Participant and the Company. Any decision or action taken by the Committee or
the Board with respect to the administration or interpretation of the Option Grant
Program shall be conclusive and binding upon all persons.
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# ARTICLE 4 ELIGIBILITY

|4.01 | Historical
Eligibility. Prior to July 1, 2004, Options were granted pursuant to the Option
Grant Program only to individuals who were CEO Roundtable Members, Challengers or
Selected Executives on the date of grant.
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# ARTICLE 5 STOCK OPTIONS

|5.01 | General.
No Options will be granted under the Option Grant Program from and after July 1, 2004.
Options that were granted prior to that date and remain outstanding shall be subject to
the following terms and conditions:
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| | (a) | Automatic Grant of Options. This section is no longer applicable.
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| | (b) | Exercise Price. The exercise price per share under an Option represents
               the amount (rounded up to the nearest cent) which was the product of (i) the
               Fair Market Value on the date of grant, times (ii) one plus the Designated
               Interest Rate then in effect, compounded annually over four years. For example,
               if the Fair Market Value on the date of grant of an Option was $20.00 and the
               Designated Interest Rate as of that date was 5.13%, the exercise price of the
               Option was $20.00 x 1.05134, or $24.43.
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| | (c) | Time and Conditions of Exercise. Options granted to a Participant
               pursuant to the Option Grant Program shall become vested cumulatively at the
               rate of 20% of the shares covered by such Option on the fourth, fifth, sixth,
               seventh and eighth anniversaries of the date the Participant first made a
               deferral under the Deferred Compensation Plan. For example, if a Participant
               first made a deferral under the Deferred Compensation Plan with respect to any
               part of Plan Year 2003, he or she will become vested in all Options granted
               hereunder, based on the 4th to 8th anniversaries of the
               first day of such 2003 Plan Year, which is July 1, 2002 (i.e., all Options
               granted to such Participant, whenever made, will be 20% vested on July 1, 2006,
               40% vested on July 1, 2007, and so on.) For a Participant who began
               participating in the Deferred Compensation Plan prior April 1, 2002, his or her
               Option vesting dates will be based on an April 1 plan year, which was in effect
               prior to April 1, 2002. Notwithstanding the above, an Option granted to a
               Participant pursuant to the Option Grant Program shall become vested and
               exercisable in full (i) upon the death, Normal Retirement or Disability of the
               Participant, (ii) upon such date as a successor to the Company terminates the
               Deferred Compensation Plan, or (iii) if within 24 months after a Change in
               Control (as defined in the Deferred Compensation Plan), a successor to the
               Company terminates the employment of the Participant without cause or the
               Participant resigns for Good Reason, as defined in the Participants
               Employment Agreement, if any, with the Company. The Options shall not
               automatically vest upon the occurrence of a Change in Control.
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| | (d) | Payment. Payment of the exercise price of an Option may be paid in such
               manner as may be permitted under the Employee Stock Option Plan.
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| | (e) | Evidence of Grant. All outstanding Options are evidenced by a written
               Option Agreement between the Company and the Participant.
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| | (f) | Lapse of Option. An Option shall lapse under the earliest of the
               following circumstances:
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| | (1)       
               The Option shall lapse as of the day following the tenth anniversary of the date
               of grant.
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| | (2)       
               If the Participant terminates employment by reason of his Normal Retirement or
               for any reason other than as provided in paragraph (3) or (4) below, the Option
               shall lapse, unless it is previously exercised, two years after the
               Participants Termination of Employment.
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| | (3)       
               If the Participant terminates employment by reason of his Disability, the Option
               shall lapse, unless it is previously exercised, 12 months after the
               Participants Termination of Employment.
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| | (4)       
               If the Participant dies while employed, or during the two-year period described
               in paragraph (2) or during the 12-month period described in paragraph (3) and
               before the Option otherwise lapses, the Option shall lapse 12 months after the
               Participants death. Upon the Participants death, any exercisable
               Options may be exercised by the Participants Beneficiary.
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| | Unless
the exercisability of the Option is accelerated as provided herein or in the Employee
Stock Option Plan, if a Participant exercises an Option after Termination of Employment,
the Option may be exercised only with respect to the shares that were otherwise vested on
the Participants Termination of Employment.
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# ARTICLE 6 OTHER PROVISIONS
APPLICABLE TO OPTIONS

|6.01 | Beneficiaries.
A Participant may, in the manner determined by the Committee, designate a Beneficiary to
exercise the rights of the Participant and to receive any distribution with respect to
any Option upon the Participants death. A Beneficiary, legal guardian, legal
representative, or other person claiming any rights under the Option Grant Program is
subject to all terms and conditions of the Option Grant Program, the Employee Stock
Option Plan and any Option Agreement applicable to the Participant, except to the extent
the Option Grant Program, the Employee Stock Option Plan and the Option Agreement
otherwise provide, and to any additional restrictions deemed necessary or appropriate by
the Committee. Subject to the foregoing, a Beneficiary designation may be changed or
revoked by a Participant at any time provided the change or revocation is filed with the
Committee.
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|6.02 | Stock
Certificates. All Stock certificates delivered pursuant to the Option Grant Program
are subject to any stop-transfer orders and other restrictions as the Committee deems
necessary or advisable to comply with federal or state securities laws, rules and
regulations and the rules of any national securities exchange or automated quotation
system on which the Stock is listed, quoted, or traded. The Committee may place legends
on any Stock certificate to reference restrictions applicable to the Stock.
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# ARTICLE 7 AMENDMENT,
MODIFICATION AND TERMINATION

|7.01 | Amendment,
 Modification  and  Termination.  The Committee may, at any time and from time to time,
 amend,          modify or terminate the Option Grant Program.
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|7.02 | Awards
Previously Granted. At any time and from time to time, the Committee may amend,
modify or terminate any outstanding Option without approval of the Participant; provided,
however, that such amendment, modification or termination shall not, without the
Participants consent, reduce or diminish the value of such Option determined as if
the Option had been exercised on the date of such amendment or termination. No
termination, amendment, or modification of the Option Grant Program shall, without the
written consent of the Participant, adversely affect any Option previously granted.
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# ARTICLE 8 MISCELLANEOUS

|8.01 | No
Implied Rights. Nothing contained in the Option Grant Program shall be deemed to give
any CEO Roundtable Member, Challenger or Selected Executive the right to continue in such
status or to remain as an employee of the Company.
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|8.02 | Spendthrift
Clause. None of the rights or benefits under the Option Grant Program shall be
subject to the claim of any creditor of any Participant or Beneficiary, or to any legal
process by any creditor of such Participant or Beneficiary, and none of them shall have
any right to alienate, commute, anticipate or assign any of the rights or benefits under
the Option Grant Program except to the extent expressly provided herein to the contrary.
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|8.03 | Relationship
to Other Benefits. No benefit under the Option Grant Program shall be taken into
account in determining any benefits under any pension, retirement, savings, profit
sharing, group insurance, welfare or benefit plan of the Company or its affiliates unless
provided otherwise in such other plan.
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|8.04 | Expenses.
 The expenses of administering the Option Grant Program shall be borne by the Company.
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|8.05 | Titles
and Headings. The headings and sub-headings in the Option Grant Program have been
inserted for convenience of reference only and are to be ignored in any construction of
the provisions hereof.
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|8.06 | Gender
and Number. Except where otherwise indicated by the context, any masculine term used
herein also shall include the feminine; the plural shall include the singular and the
singular shall include the plural.
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|8.07 | Fractional
Shares. No fractional shares of Stock shall be issued and the Committee shall
determine, in its discretion, whether cash shall be given in lieu of fractional shares or
whether such fractional shares shall be eliminated by rounding up.
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|8.08 | Effective
Date. The Option Grant Program became effective as of July 1, 1997, and was amended
and restated as of July 1, 1998, March 30, 1999, July 1, 2000, April 1, 2002, July 1,
2003, and July 1, 2004.
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| | The foregoing is hereby acknowledged as being the PSS World Medical, Inc. Amended and Restated
ELITe Stock Option Grant Program as adopted by the Compensation Committee of the Board of
Directors of the Company effective as of July 1, 1997, and amended as of July 1, 1998,
March 30, 1999, July 1, 2000, April 1, 2002, July 1, 2003, and July 1, 2004.
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| |  |                                                                      
| |  | ---------------------------------------------------------------------
| |  | PSS WORLD MEDICAL, Inc.                                              
| |  |                                                                      
| |  | By:  /s/ David A. Smith       David
A. Smith        President and CEO

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