Exhibit 10.41

November 30,
2004

Greg
Yonko
Sr. Vice President, Purchasing
McKesson Corporation
One Post Street
San Francisco, CA 94104-5296

Dear
Mr. Yonko:

This
letter serves to amend the above-referenced Inventory Management Agreement ("Agreement") between First Horizon ("FHPC") and McKesson Corporation ("Wholesaler") dated 6/10/2003.

The
Agreement shall be amended as follows:





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In the event the actual Economic Benefit of a particular Product is less than the Targeted Economic Benefit of[***], then Wholesaler shall issue an invoice to FHPC for
the difference no later then January 30th of the
following year. Such invoice shall include sufficient detail to allow FHPC to verify and audit Wholesaler's invoice. FHPC shall pay undisputed invoice amounts within 45 days of FHPC's receipt
of invoice.

Any
capitalized terms used in this Amendment, which are not otherwise defined herein, shall have the same meanings ascribed to them in the Agreement. All other terms and conditions of
the Agreement shall remain in full force and effect and unless as otherwise modified herein, shall also apply to the subject matter of this Amendment. In the event there is any inconsistency or
conflict between the provisions in this Amendment and those in the Agreement, the provisions in this Amendment shall supersede and control.

Please
sign two copies of this letter agreement to acknowledge your acceptance of this amendment to the Agreement and return one signed copy to: First Horizon Pharmaceutical Corporation,
Attention: Kathy Lang, 6195 Shiloh Road, Alpharetta, GA, 30005. The second copy should be retained for your records.

| |  | Very truly yours,                            
| |  | ---------------------------------------------
| |  | Kathy Lang
Sr. Director of Corporate Accounts

|Michael Mavrogordato
Vice President of Business Development & Managed Care |                                                                                  | Greg Yonko
Sr. Vice President, Purchasing
|-------------------------------------------------------------------------- | -------------------------------------------------------------------------------- | -----------------------------------------
|ACCEPTED AND AGREED:                                                       |                                                                                  | ACCEPTED AND AGREED:                     
|By:                                                                        |                                                                                  |                                          
|                                                                           | /s/MICHAEL MAVROGORDATOMichael Mavrogordato
VP Business Development
Name & Title |                                          
|                                                                           |                                                                                  |                                          
|Dated:    11/30/04                                                         |                                                                                  | Dated:    12/10/04                       

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