EXHIBIT 32.1

                             CERTIFICATE PURSUANT TO
                             18 U.S.C. SECTION 1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002


     In  connection  with the Annual  Report of  National  Medical  Health  Card
Systems,  Inc. ("the  "Company") on Form 10-K/A for the year ended June 30, 2003
as filed with the  Securities  and Exchange  Commission  on the date hereof (the
"Report"),  I, James Bigl,  Chief  Executive  Officer of the  Company,  certify,
pursuant  to 18  U.S.C.  ss.  1350,  as  adopted  pursuant  to  ss.  906  of the
Sarbanes-Oxley Act of 2002, that, to my knowledge:

         (1) The Report fully complies with the requirements of Section 13(a) or
15(d) of the Securities Exchange Act of 1934; and

         (2) The information contained in the Report fairly presents, in all
material respects, the financial condition and results of operations of the
Company.



/s/James Bigl
James Bigl
Chief Executive Officer


February 17, 2004



<PAGE>


                                                               EXHIBIT 32.2
                             CERTIFICATE PURSUANT TO
                             18 U.S.C. SECTION 1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002


     In  connection  with the Annual  Report of  National  Medical  Health  Card
Systems,  Inc. ("the  "Company") on Form 10-K/A for the year ended June 30, 2003
as filed with the  Securities  and Exchange  Commission  on the date hereof (the
"Report"), I, Stuart Fleischer, Chief Financial Officer of the Company, certify,
pursuant  to 18  U.S.C.  ss.  1350,  as  adopted  pursuant  to  ss.  906  of the
Sarbanes-Oxley Act of 2002, that, to my knowledge:

         (1) The Report fully complies with the requirements of Section 13(a) or
15(d) of the Securities Exchange Act of 1934; and

         (2) The information contained in the Report fairly presents, in all
material respects, the financial condition and result of operations of the
Company.



/s/ Stuart Fleischer
    Stuart Fleischer
    Chief Financial Officer

February 17, 2004


<PAGE>




                                                              EXHIBIT 32.3

                             CERTIFICATE PURSUANT TO
                             18 U.S.C. SECTION 1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002


     In  connection  with the Annual  Report of  National  Medical  Health  Card
Systems,  Inc. ("the  "Company") on Form 10-K/A for the year ended June 30, 2003
as filed with the  Securities  and Exchange  Commission  on the date hereof (the
"Report"),  I, James Bigl,  Chief  Executive  Officer of the  Company,  certify,
pursuant  to 18  U.S.C.  ss.  1350,  as  adopted  pursuant  to  ss.  906  of the
Sarbanes-Oxley Act of 2002, that, to my knowledge:

         (1) The Report fully complies with the requirements of Section 13(a) or
15(d) of the Securities Exchange Act of 1934; and

         (2) The information contained in the Report fairly presents, in all
material respects, the financial condition and results of operations of the
Company.



/s/James Bigl
James Bigl
Chief Executive Officer


May 14, 2004



<PAGE>


                                                               EXHIBIT 32.4
                             CERTIFICATE PURSUANT TO
                             18 U.S.C. SECTION 1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002


     In  connection  with the Annual  Report of  National  Medical  Health  Card
Systems,  Inc. ("the  "Company") on Form 10-K/A for the year ended June 30, 2003
as filed with the  Securities  and Exchange  Commission  on the date hereof (the
"Report"), I, Stuart Fleischer, Chief Financial Officer of the Company, certify,
pursuant  to 18  U.S.C.  ss.  1350,  as  adopted  pursuant  to  ss.  906  of the
Sarbanes-Oxley Act of 2002, that, to my knowledge:

         (1) The Report fully complies with the requirements of Section 13(a) or
15(d) of the Securities Exchange Act of 1934; and

         (2) The information contained in the Report fairly presents, in all
material respects, the financial condition and result of operations of the
Company.



/s/ Stuart Fleischer
    Stuart Fleischer
    Chief Financial Officer

May 14, 2004