EXHIBIT 31.1

            RULE 13a-14(a)/15d-14(a) CERTIFICATION OF CEO PURSUANT TO
                      SECTION 302 OF THE SARBANES-OXLEY ACT


I, James J. Bigl, Chief Executive Officer, certify that:

         1.       I have reviewed this annual report on Form 10-K/A of National
                  Medical Health Card Systems, Inc. and its Subsidiaries (the
                  "Registrant");

         2.       Based on my knowledge, this annual report does not contain any
                  untrue statement of a material fact or omit to state a
                  material fact necessary to make the statements made, in light
                  of the circumstances under which such statements were made,
                  not misleading with respect to the period covered by this
                  annual report;

        3.        Based on my knowledge, the financial statements, and other
                  financial information included in this annual report, fairly
                  present in all material respects the financial condition,
                  results of operations and cash flows of the Registrant as of,
                  and for, the periods presented in this annual report;

        4.        The Registrant's other certifying officer and I are
                  responsible for establishing and maintaining disclosure
                  controls and procedures (as defined in Exchange Act Rules
                  13a-15(e) and 15d-15(e)) and internal control over financial
                  reporting (as defined in Exchange Act Rules 13a-15(f) and
                  15d-15(f)) for the Registrant and we have:

                  (a) designed such disclosure controls and procedures, or
                  caused such disclosure controls and procedures to be designed
                  under our supervision, to ensure that material information
                  relating to the Registrant, including its consolidated
                  subsidiaries, is made known to us by others within those
                  entities, particularly during the period in which this annual
                  report is being prepared;

                  (b) designed such internal control over financial reporting,
                  or caused such internal control over financial reporting to be
                  designed under our supervision, to provide reasonable
                  assurance regarding the reliability of financial reporting and
                  the preparation of financial statements for external purposes
                  in accordance with generally accepted accounting principles;

                  (c) evaluated the effectiveness of the Registrant's disclosure
                  controls and procedures and presented in this annual report
                  our conclusions about the effectiveness of the disclosure
                  controls and procedures, as of June 30, 2003, based on such
                  evaluation; and

                  (d) disclosed in this annual report any change in the
                  Registrant's internal control over financial reporting that
                  occurred during the Registrant's fiscal quarter ended June 30,
                  2003 that has materially affected, or is reasonably likely to
                  materially affect, the Registrant's internal control over
                  financial reporting; and

         5.       The Registrant's other certifying officers and I have
                  disclosed, based on our most recent evaluation of internal
                  control over financial reporting, to the Registrant's auditors
                  and the audit committee of the Registrant's board of directors
                  (or persons performing the equivalent function):

                  (a) all significant deficiencies and material weaknesses in
                  the design or operation of internal controls which are
                  reasonably likely to adversely affect the Registrant's ability
                  to record, process, summarize and report financial
                  information; and

                  (b) any fraud, whether or not material, that involves
                  management or other employees who have a significant role in
                  the Registrant's internal control over financial reporting.


Dated: February 17, 2004            /s/ James J. Bigl
                                        James J. Bigl, Chief Executive Officer

<PAGE>



                                                                   EXHIBIT 31.2


            RULE 13a-14(a)/15d-14(a) CERTIFICATION OF CFO PURSUANT TO
                      SECTION 302 OF THE SARBANES-OXLEY ACT


I, Stuart Fleischer, Chief Financial Officer, certify that:

         1.       I have reviewed this annual report on Form 10-K/A of National
                  Medical Health Card Systems, Inc. and its Subsidiaries (the
                  "Registrant");

         2.       Based on my knowledge, this annual report does not contain any
                  untrue statement of a material fact or omit to state a
                  material fact necessary to make the statements made, in light
                  of the circumstances under which such statements were made,
                  not misleading with respect to the period covered by this
                  annual report;

         3.       Based on my knowledge, the financial statements, and other
                  financial information included in this annual report, fairly
                  present in all material respects the financial condition,
                  results of operations and cash flows of the Registrant as of,
                  and for, the periods presented in this annual report.

         4.       The Registrant's other certifying officer and I are
                  responsible for establishing and maintaining disclosure
                  controls and procedures (as defined in Exchange Act Rules
                  13a-15(e) and 15d-15(e)) and internal control over financial
                  reporting (as defined in Exchange Act Rules 13a-15(f) and
                  15d-15(f)) for the Registrant and we have:

                  (a) designed such disclosure controls and procedures, or
                  caused such disclosure controls and procedures to be designed
                  under our supervision, to ensure that material information
                  relating to the Registrant, including its consolidated
                  subsidiaries, is made known to us by others within those
                  entities, particularly during the period in which this annual
                  report is being prepared;

                  (b) designed such internal control over financial reporting,
                  or caused such internal control over financial reporting to be
                  designed under our supervision, to provide reasonable
                  assurance regarding the reliability of financial reporting and
                  the preparation of financial statements for external purposes
                  in accordance with generally accepted accounting principles;

                  (c) evaluated the effectiveness of the Registrant's disclosure
                  controls and procedures and presented in this annual report
                  our conclusions about the effectiveness of the disclosure
                  controls and procedures, as of June 30, 2003, based on such
                  evaluation; and

                  (d) disclosed in this annual report any change in the
                  Registrant's internal control over financial reporting that
                  occurred during the Registrant's fiscal quarter ended June 30,
                  2003 that has materially affected, or is reasonably likely to
                  materially affect, the Registrant's internal control over
                  financial reporting; and

         5.       The Registrant's other certifying officers and I have
                  disclosed, based on our most recent evaluation of internal
                  control over financial reporting, to the Registrant's auditors
                  and the audit committee of the Registrant's board of directors
                  (or persons performing the equivalent function):

                  (a) all significant deficiencies and material weaknesses in
                  the design or operation of internal controls which are
                  reasonably likely to adversely affect the Registrant's ability
                  to record, process, summarize and report financial
                  information; and

                  (b) any fraud, whether or not material, that involves
                  management or other employees who have a significant role in
                  the Registrant's internal control over financial reporting.

Dated: February 17, 2004           /s/ Stuart Fleischer
                                       Stuart Fleischer, Chief Financial Officer

<PAGE>


                                                                EXHIBIT 31.3

            RULE 13a-14(a)/15d-14(a) CERTIFICATION OF CEO PURSUANT TO
                      SECTION 302 OF THE SARBANES-OXLEY ACT


I, James J. Bigl, Chief Executive Officer, certify that:

         1.       I have reviewed this annual report on Form 10-K/A of National
                  Medical Health Card Systems, Inc. and its Subsidiaries (the
                  "Registrant");

         2.       Based on my knowledge, this annual report does not contain any
                  untrue statement of a material fact or omit to state a
                  material fact necessary to make the statements made, in light
                  of the circumstances under which such statements were made,
                  not misleading with respect to the period covered by this
                  annual report;

        3.        Based on my knowledge, the financial statements, and other
                  financial information included in this annual report, fairly
                  present in all material respects the financial condition,
                  results of operations and cash flows of the Registrant as of,
                  and for, the periods presented in this annual report;

        4.        The Registrant's other certifying officer and I are
                  responsible for establishing and maintaining disclosure
                  controls and procedures (as defined in Exchange Act Rules
                  13a-15(e) and 15d-15(e)) and internal control over financial
                  reporting (as defined in Exchange Act Rules 13a-15(f) and
                  15d-15(f)) for the Registrant and we have:

                  (a) designed such disclosure controls and procedures, or
                  caused such disclosure controls and procedures to be designed
                  under our supervision, to ensure that material information
                  relating to the Registrant, including its consolidated
                  subsidiaries, is made known to us by others within those
                  entities, particularly during the period in which this annual
                  report is being prepared;

                  (b) evaluated the effectiveness of the Registrant's disclosure
                  controls and procedures and presented in this annual report
                  our conclusions about the effectiveness of the disclosure
                  controls and procedures, as of June 30, 2003, based on such
                  evaluation; and

                  (c) disclosed in this annual report any change in the
                  Registrant's internal control over financial reporting that
                  occurred during the Registrant's fiscal quarter ended June 30,
                  2003 that has materially affected, or is reasonably likely to
                  materially affect, the Registrant's internal control over
                  financial reporting; and

         5.       The Registrant's other certifying officer and I have
                  disclosed, based on our most recent evaluation of internal
                  control over financial reporting, to the Registrant's auditors
                  and the audit committee of the Registrant's board of directors
                  (or persons performing the equivalent function):

                  (a) all significant deficiencies and material weaknesses in
                  the design or operation of internal controls which are
                  reasonably likely to adversely affect the Registrant's ability
                  to record, process, summarize and report financial
                  information; and

                  (b) any fraud, whether or not material, that involves
                  management or other employees who have a significant role in
                  the Registrant's internal control over financial reporting.


Dated: May 14, 2004                 /s/ James J. Bigl
                                        James J. Bigl, Chief Executive Officer

<PAGE>



                                                                   EXHIBIT 31.4


            RULE 13a-14(a)/15d-14(a) CERTIFICATION OF CFO PURSUANT TO
                      SECTION 302 OF THE SARBANES-OXLEY ACT


I, Stuart Fleischer, Chief Financial Officer, certify that:

         1.       I have reviewed this annual report on Form 10-K/A of National
                  Medical Health Card Systems, Inc. and its Subsidiaries (the
                  "Registrant");

         2.       Based on my knowledge, this annual report does not contain any
                  untrue statement of a material fact or omit to state a
                  material fact necessary to make the statements made, in light
                  of the circumstances under which such statements were made,
                  not misleading with respect to the period covered by this
                  annual report;

         3.       Based on my knowledge, the financial statements, and other
                  financial information included in this annual report, fairly
                  present in all material respects the financial condition,
                  results of operations and cash flows of the Registrant as of,
                  and for, the periods presented in this annual report.

         4.       The Registrant's other certifying officer and I are
                  responsible for establishing and maintaining disclosure
                  controls and procedures (as defined in Exchange Act Rules
                  13a-15(e) and 15d-15(e)) and internal control over financial
                  reporting (as defined in Exchange Act Rules 13a-15(f) and
                  15d-15(f)) for the Registrant and we have:

                  (a) designed such disclosure controls and procedures, or
                  caused such disclosure controls and procedures to be designed
                  under our supervision, to ensure that material information
                  relating to the Registrant, including its consolidated
                  subsidiaries, is made known to us by others within those
                  entities, particularly during the period in which this annual
                  report is being prepared;

                  (b) evaluated the effectiveness of the Registrant's disclosure
                  controls and procedures and presented in this annual report
                  our conclusions about the effectiveness of the disclosure
                  controls and procedures, as of June 30, 2003, based on such
                  evaluation; and

                  (c) disclosed in this annual report any change in the
                  Registrant's internal control over financial reporting that
                  occurred during the Registrant's fiscal quarter ended June 30,
                  2003 that has materially affected, or is reasonably likely to
                  materially affect, the Registrant's internal control over
                  financial reporting; and

         5.       The Registrant's other certifying officer and I have
                  disclosed, based on our most recent evaluation of internal
                  control over financial reporting, to the Registrant's auditors
                  and the audit committee of the Registrant's board of directors
                  (or persons performing the equivalent function):

                  (a) all significant deficiencies and material weaknesses in
                  the design or operation of internal controls which are
                  reasonably likely to adversely affect the Registrant's ability
                  to record, process, summarize and report financial
                  information; and

                  (b) any fraud, whether or not material, that involves
                  management or other employees who have a significant role in
                  the Registrant's internal control over financial reporting.

Dated: May 14, 2004                /s/ Stuart Fleischer
                                       Stuart Fleischer, Chief Financial Officer