Document:

Form of 12% Senior Secured Note due 2015 issued by the Company

 Exhibit 4.2 
 THIS SECURITY HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”), AND MAY NOT BE OFFERED, SOLD, PLEDGED OR OTHERWISE TRANSFERRED EXCEPT IN ACCORDANCE
WITH THE FOLLOWING SENTENCE. BY ITS ACQUISITION HEREOF OR OF A BENEFICIAL INTEREST HEREIN, THE ACQUIRER 
 (1) REPRESENTS THAT
IT AND ANY ACCOUNT FOR WHICH IT IS ACTING IS A “QUALIFIED INSTITUTIONAL BUYER” (WITHIN THE MEANING OF RULE 144A UNDER THE SECURITIES ACT) AND THAT IT EXERCISES SOLE INVESTMENT DISCRETION WITH RESPECT TO EACH SUCH ACCOUNT, AND 

(2) AGREES THAT IT WILL NOT DIRECTLY OR INDIRECTLY ENGAGE IN ANY HEDGING TRANSACTIONS INVOLVING THIS SECURITY UNLESS IN COMPLIANCE WITH
THE SECURITIES ACT, AND 
 (3) AGREES FOR THE BENEFIT OF THE COMPANY THAT IT WILL NOT OFFER, SELL, PLEDGE OR OTHERWISE TRANSFER
THIS SECURITY OR ANY BENEFICIAL INTEREST HEREIN PRIOR TO THE DATE THAT IS THE LATER OF (X) ONE YEAR AFTER THE LATER OF THE ORIGINAL ISSUE DATE HEREOF AND THE LAST DATE ON WHICH THE COMPANY OR ANY AFFILIATE OF THE COMPANY WAS THE OWNER OF THIS
SECURITY (OR ANY PREDECESSOR OF THIS SECURITY) OR SUCH SHORTER PERIOD OF TIME AS PERMITTED BY RULE 144 UNDER THE SECURITIES ACT OR ANY SUCCESSOR PROVISION THEREUNDER, AND (Y) SUCH LATER DATE, IF ANY, AS MAY BE REQUIRED BY APPLICABLE LAW, EXCEPT
ONLY 
 (A) TO THE COMPANY OR ANY SUBSIDIARY THEREOF, 
 (B) OUTSIDE THE UNITED STATES IN ACCORDANCE WITH REGULATION S, 
 (C) PURSUANT TO A
REGISTRATION STATEMENT WHICH HAS BECOME EFFECTIVE UNDER THE SECURITIES ACT, 
 (D) TO A QUALIFIED INSTITUTIONAL BUYER IN
COMPLIANCE WITH RULE 144A UNDER THE SECURITIES ACT, OR 
 (E) PURSUANT TO AN EXEMPTION FROM REGISTRATION PROVIDED BY RULE 144
UNDER THE SECURITIES ACT OR ANY OTHER AVAILABLE EXEMPTION FROM THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT. 
 PRIOR TO
THE REGISTRATION OF ANY TRANSFER IN ACCORDANCE WITH (3)(D) ABOVE, A DULY COMPLETED AND SIGNED CERTIFICATE (THE FORM OF WHICH MAY BE OBTAINED FROM THE TRUSTEE) MUST BE DELIVERED TO THE TRUSTEE. PRIOR TO THE REGISTRATION OF ANY TRANSFER IN
ACCORDANCE WITH (3)(E) ABOVE, THE COMPANY AND THE TRUSTEE RESERVE THE RIGHT TO REQUIRE THE DELIVERY OF SUCH LEGAL OPINIONS, CERTIFICATIONS OR OTHER EVIDENCE AS MAY REASONABLY BE REQUIRED IN ORDER TO DETERMINE THAT THE PROPOSED TRANSFER IS BEING
MADE IN COMPLIANCE WITH THE SECURITIES ACT AND APPLICABLE STATE SECURITIES LAWS. NO REPRESENTATION IS MADE AS TO THE AVAILABILITY OF ANY EXEMPTION FROM THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT. 

THIS SECURITY IS A GLOBAL SECURITY WITHIN THE MEANING OF THE INDENTURE HEREINAFTER REFERRED TO AND IS REGISTERED IN THE NAME OF A
DEPOSITARY OR A NOMINEE OF A DEPOSITARY OR A SUCCESSOR DEPOSITARY. THIS SECURITY IS NOT EXCHANGEABLE FOR SECURITIES REGISTERED IN THE NAME OF A PERSON OTHER THAN THE DEPOSITARY OR ITS NOMINEE EXCEPT IN THE LIMITED CIRCUMSTANCES DESCRIBED IN THE
INDENTURE, AND NO TRANSFER OF THIS SECURITY (OTHER THAN A TRANSFER OF THIS SECURITY AS A WHOLE BY THE DEPOSITARY TO A NOMINEE OF THE DEPOSITARY OR BY A NOMINEE OF THE DEPOSITARY TO THE DEPOSITARY OR ANOTHER NOMINEE OF THE

 
DEPOSITARY) MAY BE REGISTERED EXCEPT IN THE LIMITED CIRCUMSTANCES DESCRIBED IN THE INDENTURE. 
 UNLESS THIS CERTIFICATE IS PRESENTED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY TRUST COMPANY, A NEW YORK CORPORATION (“DTC”), TO THE COMPANY OR ITS AGENT FOR REGISTRATION OF TRANSFER,
EXCHANGE, OR PAYMENT, AND ANY CERTIFICATE ISSUED IS REGISTERED IN THE NAME OF CEDE & CO. OR IN SUCH OTHER NAME AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC (AND ANY PAYMENT IS MADE TO CEDE & CO. OR TO SUCH OTHER ENTITY AS
IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL INASMUCH AS THE REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN. 

TRANSFERS OF THIS GLOBAL SECURITY SHALL BE LIMITED TO TRANSFERS IN WHOLE, BUT NOT IN PART, TO NOMINEES OF CEDE & CO. OR TO A
SUCCESSOR THEREOF OR SUCH SUCCESSOR’S NOMINEE AND TRANSFERS OF PORTIONS OF THIS GLOBAL SECURITY SHALL BE LIMITED TO TRANSFERS MADE IN ACCORDANCE WITH THE RESTRICTIONS SET FORTH IN SECTION 2.16 OF THE INDENTURE. 

THIS NOTE HAS BEEN ISSUED WITH “ORIGINAL ISSUE DISCOUNT” (WITHIN THE MEANING OF SECTION 1273 OF THE INTERNAL REVENUE CODE OF
1986, AS AMENDED. UPON WRITTEN REQUEST TO THE CHIEF FINANCIAL OFFICER AT (314) 646-3751 AND ONE CORPORATE WOODS DRIVE, BRIDGETON, MO 63044, THE COMPANY WILL PROMPTLY MAKE AVAILABLE TO ANY HOLDER OF THIS NOTE THE FOLLOWING INFORMATION:
(1) THE ISSUE PRICE AND ISSUE DATE OF THE NOTE, (2) THE TOTAL AMOUNT OF ORIGINAL ISSUE DISCOUNT ON THE NOTE AND (3) THE YIELD TO MATURITY ON THE NOTE. 

 K-V PHARMACEUTICAL COMPANY 

Certificate No. 144A-1 

12% Senior Secured Note due 2015 
 CUSIP No. 482740 AD9 
 ISIN No. US482740AD91 

K-V Pharmaceutical Company, a Delaware corporation (the “Company”), for value received, hereby promises to pay to
Cede & Co., or its registered assigns, the principal sum of up to two hundred and twenty five million dollars ($225,000,000) (as such amount may be increased or decreased on Schedule A) on March 15, 2015 and to pay interest thereon, as
provided on the reverse hereof, until the principal and any unpaid and accrued interest are paid or duly provided for. 

Interest Payment Dates: March 15 and September 15, with the first payment to be made on September 15, 2011. 

Record Dates: March 1 and September 1. 
 The provisions on the back of this certificate are incorporated as if set forth on the face hereof. 
 IN WITNESS WHEREOF, K-V Pharmaceutical Company has caused this instrument to be duly signed. 
  

					
	K-V PHARMACEUTICAL COMPANY
		
	By:	 	/s/ Gregory J. Divis
		 	Name:	 	Gregory J. Divis
		 	Title:	 	President and CEO

 Dated: March 17, 2011

 TRUSTEE’S CERTIFICATE OF AUTHENTICATION 
 This is one of the Securities referred to in the within-mentioned Indenture. 

WILMINGTON TRUST FSB, as Trustee 

			
		
	By:	 	/s/ Jane Schweiger
		 	Authorized Signatory

 Dated: March 17,
2011 

 [REVERSE OF SECURITY] 

K-V PHARMACEUTICAL COMPANY 
 12% Senior Secured Note due 2015 
 1. Interest. K-V Pharmaceutical
Company, a Delaware corporation (the “Company”), promises to pay interest on the principal amount of this Security at the rate per annum equal to 12%, plus, if applicable, interest on defaulted interest as provided in
Section 2.12 of the Indenture referred to below. The Company will pay interest, payable semi-annually in arrears, on March 15 and September 15 of each year, with the first payment to be made on September 15, 2011. Interest on
the Securities will accrue on the principal amount from, and including, the most recent date to which interest has been paid or, if no interest has been paid, from, and including, March 17, 2011, in each case to, but excluding, the next
interest payment date or Maturity Date, as the case may be. Interest will be computed on the basis of a 360-day year of twelve 30-day months. 
 2. Maturity. The Securities will mature on March 15, 2015. 
 3.
Method of Payment. Except as provided in the Indenture (as defined below), the Company will pay interest on the Securities to the persons who are Holders of record of Securities at the close of business on the record date set forth on the
face of this Security next preceding the applicable interest payment date. Holders must surrender Securities to a Paying Agent to collect the principal amount, Redemption Price, Asset Sale Repurchase Price or Fundamental Change Repurchase Price of
the Securities, plus, if applicable, accrued and unpaid interest, if any, payable as herein provided upon Redemption, Repurchase Upon Asset Sale or Repurchase Upon Fundamental Change, as the case may be. The Company will pay, in money of the United
States that at the time of payment is legal tender for payment of public and private debts, all amounts due in cash with respect to the Securities, which amounts shall be paid (A) in the case this Security is in global form, by wire transfer of
immediately available funds to the account designated by the Depositary or its nominee; (B) in the case of a Security that is held, other than global form, by a Holder of more than $10,000,000 in aggregate principal amount of Securities, by
wire transfer of immediately available funds to the account specified by such Holder or, if such Holder does not specify an account, by mailing a check to the address of such Holder set forth in the register of the Registrar; and (C) in the
case of a Security that is held, other than global form, by a Holder of $5,000,000 or less in aggregate principal amount of Securities, by mailing a check to the address of such Holder set forth in the register of the Registrar. 

4. Paying Agent and Registrar. Initially, Wilmington Trust FSB (the “Trustee”) will act as Paying Agent and
Registrar. The Company may change any Paying Agent or Registrar without notice. 
 5. Indenture. The Company issued the
Securities under an Indenture dated as of March 17, 2011 (the “Indenture”), between the Company the Guarantors party thereto from time to time and the Trustee. To the extent any of the terms of this Security conflict with the
provisions of the Indenture, the provisions of the Indenture shall govern. The terms of the 

 
Securities include those stated in the Indenture and those made part of the Indenture by reference to the Trust Indenture Act of 1939 (15 U.S. Code §§ 77aaa-77bbbb) (the
“TIA”) as amended and in effect from time to time. The Securities are subject to all such terms, and Holders are referred to the Indenture and the TIA for a statement of such terms. To the extent permitted by applicable law, in the
event of any inconsistency between the terms of this Security and the terms of the Indenture, the terms of the Indenture will govern. The Securities are general senior obligations of the Company limited to $225,000,000 aggregate principal amount,
except as otherwise provided in the Indenture (except for Securities issued in substitution for destroyed, mutilated, lost or stolen Securities). Terms used herein without definition and which are defined in the Indenture have the meanings assigned
to them in the Indenture. 
 6. Redemption. 

The Company shall have the right, at the Company’s option, at any time, and from time to time, on a Redemption Date
on or after March 15, 2013, to redeem all or any part of the Securities at a price payable in cash equal to the Optional Redemption Price plus (subject to Section 3.01(G) of the Indenture) accrued and unpaid interest, if any, to, but
excluding, the Redemption Date. 
 The Company shall have the right, at the Company’s option, at any time,
and from time to time, on a Redemption Date before March 15, 2013, to redeem all or any part of the Securities at a price payable in cash equal to the Provisional Redemption Price plus (subject to Section 3.01(G)) accrued and unpaid
interest, if any, to, but excluding, the Redemption Date. 
 Pursuant to Section 3.01(F) of the
Indenture, the Company shall have the right, at the Company’s option, at any time, and from time to time, on a Redemption Date before March 15, 2013, to redeem all or any part of the Securities at a price payable in cash equal to the
Equity Offering Redemption Price plus (subject to Section 3.01(G) of the Indenture) accrued and unpaid interest, if any, to, but excluding, the Redemption Date; provided, however, that no such Redemption shall be made pursuant
to Section 3.01(F) of the Indenture unless: 
 (i) such Equity Offering Redemption Price and accrued and
unpaid interest are paid solely from the proceeds of one or more Equity Offerings; 
 (ii) the aggregate
principal amount of Securities to be redeemed pursuant to such Redemption, when taken together with the aggregate principal amount of Securities theretofore redeemed pursuant to Section 3.01(F) of the Indenture, may in no event exceed 35% of
the principal amount of the Securities initially issued pursuant thereto on the Issue Date; 
 (iii) at least 65%
of the original Securities outstanding immediately prior to such Redemption will remain outstanding immediately after giving effect to such Redemption; and 
 (iv) such Redemption Date cannot occur on a date that is more than 90 days after the date of closing of the earliest Equity Offering the proceeds of which are to be used to pay such Equity Offering
Redemption Price and accrued and unpaid interest. 

 7. Notice of Redemption. Notice of Redemption will be mailed at least 30 days but not
more than 60 days before the Redemption Date to each Holder of Securities to be redeemed at its address appearing in the security register. Securities in denominations larger than $2,000 principal amount may be redeemed in part but only in integral
multiples of $1,000 principal amount. 
 8. Repurchase at Option of Holder Upon a Fundamental Change. Subject to the
terms and conditions of the Indenture, in the event of a Fundamental Change, each Holder of the Securities shall have the right, at the Holder’s option, to require the Company to repurchase such Holder’s Securities pursuant to the terms
set forth in the Indenture. 
 9. Repurchase at Option of Holder Upon Certain Asset Sales. Subject to the terms and
conditions of the Indenture, if any Asset Sale shall occur, the Company may elect, or be required, pursuant to Section 3.09 of the Indenture, to make an offer to repurchase Securities at a price, payable in cash, equal to 100% of the
principal amount of the Securities (or portions thereof) to be so repurchased (the “Asset Sale Repurchase Price”), plus accrued and unpaid interest, if any, to, but excluding, the Asset Sale Repurchase Date. 

10. Denominations, Transfer, Exchange. The Securities are in registered form, without coupons, in minimum denominations of $2,000
principal amount and integral multiples of $1,000 in excess thereof. The transfer of Securities may be registered and Securities may be exchanged as provided in the Indenture. The Registrar may require a Holder, among other things, to furnish
appropriate endorsements and transfer documents. No service charge shall be made for any such registration of transfer or exchange, but the Company may require payment of a sum sufficient to cover any tax or similar governmental charge that may be
imposed in connection with certain transfers or exchanges. The Company or the Trustee, as the case may be, shall not be required to register the transfer of or exchange any Security (i) during a period beginning at the opening of business 15
days before the mailing of a notice of redemption of the Securities selected for Redemption under Section 3.04 of the Indenture and ending at the close of business on the day of such mailing or (ii) for a period of 15 days before
selecting, pursuant to Section 3.03 of the Indenture, Securities to be redeemed or (iii) that has been selected for Redemption or for which a Purchase Notice has been delivered, and not withdrawn, in accordance with the Indenture, except
the unredeemed or unrepurchased portion of Securities being redeemed or repurchased in part. 
 11. Persons Deemed
Owners. The registered Holder of a Security may be treated as the owner of such Security for all purposes. 
 12. Merger
or Consolidation. The Company shall not consolidate with, or merge with or into, or sell, transfer, lease, convey or otherwise dispose of all or substantially all of the property or assets of the Company, or of the Company and its Restricted
Subsidiaries taken as a whole, to, another person, whether in a single transaction or series of related transactions, unless the conditions of Section 5.01 of the Indenture are satisfied. 

13. Amendments, Supplements and Waivers. Subject to certain exceptions, the Indenture or the Securities may be amended or
supplemented with the consent of the Holders of at least a majority in aggregate principal amount of the outstanding Securities, and certain 

 
existing Defaults or Events of Default may be waived with the consent of the Holders of a majority in aggregate principal amount of the Securities then outstanding. In accordance with the terms
of the Indenture, the Company, with the consent of the Trustee, may amend or supplement the Indenture or the Securities without notice to or the consent of any Securityholder as set forth in the Indenture. 

14. Subsidiary Guarantees. Obligations of the Company under the Indenture and the Securities will be guaranteed by certain of the
Company’s Domestic Subsidiaries as provided in Article VIII of the Indenture. 
 15. Security. Obligations of
the Company and the Guarantors under the Indenture and the Securities will be secured as provided in Article IX. 
 16.
[Reserved]. 
 17. Defaults and Remedies. The Indenture contains provisions governing the rights and remedies of
Holders upon an Event of Default. 
 18. Trustee Dealings with the Company. The Trustee under the Indenture, or any
banking institution serving as successor Trustee thereunder, in its individual or any other capacity, may make loans to, accept deposits from, and perform services for, the Company or its Affiliates, and may otherwise deal with the Company or its
Affiliates, as if it were not Trustee. 
 19. No Recourse Against Others. No past, present or future director, officer,
employee or stockholder, as such, of the Company shall have any liability for any obligations of the Company under the Securities or the Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation. Each
Holder, by accepting a Security, waives and releases all such liability. The waiver and release are part of the consideration for the issue of the Securities. 
 20. Authentication. This Security shall not be valid until authenticated by the manual signature of the Trustee or an authenticating agent in accordance with the Indenture. 

21. Abbreviations. Customary abbreviations may be used in the name of a Holder or an assignee, such as: TEN COM (= tenants in
common), TEN ENT (= tenants by the entirety), JT TEN (= joint tenants with right of survivorship and not as tenants in common), CUST (= Custodian), and U/G/M/A (Uniform Gifts to Minors Act). 

22. Governing Law. THIS SECURITY SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.

 THE COMPANY WILL FURNISH TO ANY HOLDER UPON WRITTEN REQUEST AND WITHOUT CHARGE A COPY OF THE INDENTURE. REQUESTS MAY BE MADE
TO: 
 K-V Pharmaceutical Company 

 One Corporate Woods Drive 

Bridgeton, MO 63044 

Attention: Chief Financial Officer 

 [FORM OF ASSIGNMENT] 

 

			
	I or we assign to	  	
		
	 PLEASE INSERT SOCIAL SECURITY OR

OTHER IDENTIFYING NUMBER
	  	
		
	_________________________________________	  	
		
	 	  	 
	 (please print or type name and address)
	  	
		
	 	  	 
		
	 	  	 
	
	 the within Security and all rights thereunder, and hereby irrevocably constitute and appoint

		
	 	  	 
	
	 Attorney to transfer the Security on the books of the Company with full power of substitution in the
premises.

		
	Dated:
                                         
                               	  	 
		
		  	NOTICE: The signature on this assignment must correspond with the name as it appears upon the face of the within Security in every particular without alteration or enlargement or
any change whatsoever and be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program acceptable to the Trustee.
	
	Signature Guarantee:
                                         
                                         
                                         
                 

 In connection with any transfer of this Security occurring prior to the Resale Restriction Termination Date,
the undersigned confirms that it is making, and it has not utilized any general solicitation or general advertising in connection with, the transfer: 
 [Check One] 
  

					
	(1)	 	 ̈	  	to the Company or any Subsidiary thereof, or
			
	(2)	 	 ̈	  	to a “qualified institutional buyer” (as defined in Rule 144A under the Securities Act of 1933) pursuant to, and in compliance with, the exemption from registration
provided by Rule 144A under the Securities Act of 1933, as amended, or
			
	(3)	 	 ̈	  	pursuant to, and in compliance with, an exemption from registration under the Securities Act of 1933, as amended, other than Rule 144A or Rule 144, or
			
	(4)	 	 ̈	  	pursuant to an effective registration statement under the Securities Act of 1933, as amended,

 and, unless the box below is checked, the undersigned confirms that this Security is not being transferred to an “affiliate” of the Company (an “Affiliate”) as defined in Rule
144 under the Securities Act of 1933, as amended: 
  ̈ The transferee is an
Affiliate of the Company. (If the Security is transferred to an Affiliate, the restrictive legend must remain on the Security for at least two (2) years following the date of the transfer.) 

Unless one of the items (1) through (4) is checked, the Trustee will refuse to register any of the Securities evidenced by this certificate in
the name of any person other than the registered Holder thereof; provided, however, that if item (3) is checked, the Company or the Trustee may require, prior to registering any such transfer of the Securities, in their sole
discretion, such written legal opinions, certifications and other information as the Trustee or the Company have reasonably requested to confirm that such transfer is being made pursuant to an exemption from, or in a transaction not subject to, the
registration requirements of the Securities Act of 1933, as amended. If item (2) is checked, the purchaser must complete the certification below. 
 If none of the foregoing items are checked, the Trustee or Registrar shall not be obligated to register this Security in the name of any person other than the Holder hereof unless and until the conditions
to any such transfer of registration set forth herein and in the Indenture shall have been satisfied. 

									
					
	Dated: 	 	 	 		 	Signed: 	 	 
		 		 		 		 	(Sign exactly as name appears on the other side of this Security)

 Signature Guarantee:
                                         
                                         
                                       

 TO BE COMPLETED BY PURCHASER IF (2) ABOVE IS CHECKED 

The undersigned represents and warrants that it is purchasing this Security for its own account or an account with respect to which it exercises sole
investment discretion and that it and any such account is a “qualified institutional buyer” within the meaning of Rule 144A under the Securities Act of 1933, as amended, and is aware that the sale to it is being made in reliance on Rule
144A and acknowledges that it has received such information regarding the Company as the undersigned has requested pursuant to Rule 144A and acknowledges that the transferor is relying upon the undersigned’s foregoing representations in order
to claim the exemption from registration provided by Rule 144A. 

									
					
	Dated: 	 	 	 		 		 	 
		 		 		 		 	NOTICE:     To be executed by an executive officer

 PURCHASE NOTICE 
 Certificate No. of Security:                      

If you want to elect to have this Security purchased by the Company pursuant to Section 3.08 of the Indenture, check the box:  ̈ 
 If you want to elect to have this Security purchased by the Company pursuant to
Section 3.09 of the Indenture, check the box:  ̈ 
 If you want to elect
to have only part of this Security purchased by the Company pursuant to Section 3.08 or Section 3.09 of the Indenture, as applicable, state the principal amount to be so purchased by the Company: 

$                     

 (in an integral multiple of $1,000, subject to a minimum of $2,000) 

									
					
	Date: 	 	 	 		 	Signature(s): 	 	 
				
		 		 		 	 
		 		 		 	(Sign exactly as your name(s) appear(s) on the other side of this Security)
			
	 Signature(s) guaranteed by:
	 		 	 
		 		 	(All signatures must be guaranteed by a guarantor institution participating in the Securities Transfer Agents Medallion Program or in such other guarantee program
acceptable to the Trustee.)

 SCHEDULE A 

SCHEDULE OF EXCHANGES OF INTERESTS IN THE GLOBAL SECURITY a 
 The following exchanges of a part of this Global Security for an interest in another Global Security or for Securities in certificated form, have been made: 

 

									
	 Date of
Exchange
	  	Amount of Decrease
in Principal Amount
of this Global
Security	  	Amount of Increase
in Principal amount
of this Global
Security	  	Principal Amount of
this Global
Security
Following
such Decrease
or Increase	  	Signature of
Authorized
Signatory of Trustee
or Note Custodian

 
  

	a	 This is included
in Global Securities only.Form of Purchase Agreement

 Exhibit 10.1 
 PURCHASE AGREEMENT 
 PURCHASE AGREEMENT (the
“Agreement”), dated as of March 15, 2011, by and among K-V Pharmaceutical Company, a Delaware corporation, with its principal offices at One Corporate Woods Drive, Bridgeton, Missouri 63044 (the “Company”), the
Guarantors named on the signature pages hereto and the investor named on the signature pages hereto (the “Buyer”). 
 WHEREAS: 
 A. The Company and the Buyer are executing and delivering this
Agreement in reliance upon the exemption from securities registration afforded by Section 4(2) of the Securities Act of 1933, as amended (the “1933 Act”), and Rule 506 of Regulation D (“Regulation D”) as
promulgated by the United States Securities and Exchange Commission (the “SEC”) under the 1933 Act. 
 B. The
Company has authorized the issuance and sale of $225,000,000 aggregate principal amount of 12% Senior Secured Notes due 2015 (the “Notes”). 
 C. The Company has prepared a confidential information memorandum, dated March 2, 2011 (along with all attachments and appendices thereto, the “Confidential Information Memorandum”),
relating to the offer and sale of the Notes (the “Offering”). 
 D. The Buyer wishes to purchase, and the
Company wishes to sell, upon the terms and conditions set forth in this Agreement, the aggregate principal amount of Notes set forth below the Buyer’s signature on the signature pages hereto. 

E. Upon the fulfillment of certain conditions set forth herein, the Notes will be fully, unconditionally and irrevocably guaranteed (the
“Guarantees” and, together with the Notes, the “Securities”) as to payment of principal, interest, and premium, if any, on a senior secured basis, jointly and severally, by each subsidiary of the Company listed on
Schedule 1 hereto (collectively, the “Guarantors”). 
 F. Pursuant to the terms of the Collateral
Agreements (as defined in the Indenture (as defined below)), all of the obligations under the Notes, the Indenture and the Guarantees will be secured by a lien and security interest in substantially all of the assets of the Company and the
Guarantors (subject to Permitted Liens (as defined in the Indenture)). 
 NOW, THEREFORE, the Company, the Guarantors and
the Buyer hereby agree as follows: 
 1. PURCHASE AND SALE OF THE NOTES. 

(a) Issuance of Notes. The Company has authorized the issuance and sale of $225,000,000 aggregate principal amount
of Notes. The Notes will be issued pursuant to an indenture (the “Indenture”), to be dated as of the Closing Date (as defined below), among the Company, the Guarantors and Wilmington Trust FSB, as trustee (in such capacity, the
“Trustee”). 

 (b) Purchase and Sale of the Notes. 

(i) In reliance upon the Buyer’s representations and warranties contained in Section 2 hereof and subject to the
satisfaction (or waiver) of the conditions set forth in Sections 5 and 6 below, at the closing of the Offering (the “Closing”), the Company shall issue and sell to the Buyer the amount of Notes set forth below the Buyer’s
signature on the signature pages hereto. 
 (ii) In reliance upon the representations and warranties of the
Company and the Guarantors contained in Section 3 hereof, and subject to the terms and conditions set forth herein, the Buyer shall purchase the Notes to be purchased by the Buyer at the purchase price set forth in Section 1(b)(v) hereof.

 (iii) Simultaneously with the execution of this Agreement, the Company is executing other purchase agreements
(the “Other Purchase Agreements”) substantially identical to this Agreement with the other buyers listed on the signature pages thereto (the “Other Buyers”), pursuant to which the Company shall issue and sell
additional Notes to such Other Buyers in the respective amounts set forth below their names on the signature pages thereto for the respective purchase prices set forth therein. The amount of Securities being sold hereby and to the Other Buyers shall
aggregate to the amount indicated as authorized to be sold pursuant to Section 1(a). The sale of the Notes to the Buyer and the Other Buyers are to be separate sales, and this Agreement and the Other Purchase Agreements are to be separate
agreements. The Company shall not be obligated to sell, and Buyer shall not be obligated to buy, any of the Notes unless all the conditions set forth herein shall have been satisfied or waived by the appropriate party. 

(iv) Closing. The date and time of the Closing shall be 10:00 a.m., New York City time, on March 17, 2011 (or
such later date as is mutually agreed to by the Company and the Buyer (the “Closing Date”)) at the New York, New York offices of Dewey & LeBoeuf LLP, or such other location as the Company and the Buyer shall mutually agree.

 (v) Purchase Price; Additional Pricing Terms. The purchase price for the Notes to be purchased by the
Buyer at the Closing (the “Purchase Price”) shall be 97% of the aggregate principal amount thereof, as set forth below the Buyer’s signature on the signature pages hereto. Attached hereto as Annex I are additional
pricing terms to the Offering of the Notes. 
 (c) Form of Payment. On the Closing Date, 

(i) the Buyer shall pay before 12:00 p.m., New York City time, on such date the Purchase Price to the Closing Agent (as
defined below) by wire transfer of immediately available funds in accordance with the wire instructions set forth below the Buyer’s signature on the signature pages hereto; and 

(ii) the Company shall deliver or cause to be delivered the Notes that the Buyer is purchasing to the Buyer (for the
account of the Buyer that the Buyer shall instruct) duly executed on behalf of the Company and registered in the name of the Buyer or its designee; and 

  
 -2-

 (iii) the Notes will be represented by one or more definitive global
securities in book-entry form and will be deposited on the Closing Date or as soon as practicable thereafter, by or on behalf of the Company, with The Depository Trust Company (“DTC”) or its designated custodian, and registered in
the name of Cede & Co. 
 (d) Closing Mechanics. 

(i) One business day prior to the Closing, Jefferies & Company, Inc. (“Jefferies”), as closing
agent (in such capacity, the “Closing Agent”), will contact the contact person for the Buyer set forth below the Buyer’s signature on the signature pages hereto to confirm that the Closing is to take place and the closing
mechanics set forth herein. 
 (ii) [reserved] 

(iii) In the event that the Buyer shall fail to deliver all or any portion of the Purchase Price on or before 12:00 p.m.,
New York City time, on the Closing Date as required by Section 1(c), the Closing Agent shall be permitted (but shall not be obligated), in its sole discretion, to fund the Purchase Price of the Notes on behalf of the Buyer; provided, however,
that the funding of the purchase of any Notes by the Closing Agent pursuant to this Section 1(c)(ii) shall not relieve the Buyer of any liability that it may have to the Company or the Closing Agent pursuant to this Agreement or for the breach
of its obligations under this Agreement. In any such case in which the Closing Agent, in its sole discretion, has elected to fund the Purchase Price of the Notes on behalf of the Buyer, if the Buyer has not fulfilled its obligation to purchase the
Notes as set forth herein within two business days of the Closing Date, the Closing Agent shall thereafter be entitled to retain the Notes and, if so requested by the Closing Agent, the Company shall transfer registration of such Notes to or as
directed by the Closing Agent. 
 (iv) In the event that the Closing Agent shall have funded the purchase of the
Notes on behalf of the Buyer under the circumstances set forth in clause (ii) above, the Buyer shall be obligated to repay the Closing Agent in exchange for the release of the Notes to the Buyer at a Purchase Price for the Notes equal to 97% of
the aggregate principal amount of the Notes, as set forth below the Buyer’s signature on the signature pages hereto, plus accrued interest from the Closing Date. 

(v) Funds received by the Closing Agent on behalf of the Company pursuant to this Section 1 will be held in trust and
not as property of the Closing Agent. On the Closing Date, the Closing Agent shall disburse such funds (net of the agreed amount of fees and expenses of the Placement Agent (as defined below)) by wire transfer of immediately available funds in
accordance with the Company’s written wire instructions to an account specified by the Company, unless otherwise specified by the Company. 
 2. BUYER’S REPRESENTATIONS AND WARRANTIES. 
 The Buyer
represents and warrants with respect to only itself that: 
 (a) Organization and Good Standing. If the
Buyer is an entity, the Buyer is a corporation, partnership or limited liability company duly incorporated or organized, validly 

  
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existing and in good standing under the laws of the jurisdiction of its incorporation or organization. 
 (b) Authorization and Power. The Buyer has the requisite power and authority to enter into and perform the Transaction Documents (as defined below) to which the Buyer is a party and to purchase the
Securities being sold to it hereunder. If Buyer is an entity, the execution, delivery and performance of the Transaction Documents to which the Buyer is a party by the Buyer and the consummation by it of the transactions contemplated hereby and
thereby have been duly authorized by all necessary corporate or partnership action, and no further consent or authorization of the Buyer or its Board of Directors, stockholders or partners, as the case may be, is required. The Transaction Documents
to which the Buyer is a party have been duly authorized, executed and delivered by the Buyer and constitute, or shall constitute when executed and delivered, valid and binding obligations of the Buyer enforceable against the Buyer in accordance with
the terms thereof, except as such enforceability may be limited by general principles of equity or applicable bankruptcy, insolvency, reorganization, moratorium, liquidation or similar laws relating to, or affecting generally, the enforcement of
applicable creditors’ rights and remedies. 
 (c) No Public Sale or Distribution. The Buyer is
acquiring the Securities for its own account and not with a view towards, or for resale in connection with, the public sale or distribution thereof, except pursuant to sales registered or exempted under the 1933 Act; provided, however, that by
making the representations herein, the Buyer does not agree to hold any of the Securities for any minimum or other specific term and reserves the right to dispose of the Securities at any time in accordance with or pursuant to a registration
statement or an exemption under the 1933 Act and pursuant to the applicable terms of the Transaction Documents. The Buyer is acquiring the Securities hereunder in the ordinary course of its business. The Buyer does not presently have any agreement
or understanding, directly or indirectly, with any Person to distribute any of the Securities. As used in this Agreement, “Person” means an individual, a limited liability company, a partnership, a joint venture, a corporation, a
trust, an unincorporated organization and a government or any department or agency thereof. 
 (d) QIB and
Accredited Investor Status. The Buyer is a “qualified institutional buyer” within the meaning of Rule 144A(a)(1) under the Securities Act and an “accredited investor” within the meaning of Rule 501(a) of Regulation D. The
Buyer is not an entity formed for the sole purpose of acquiring the Notes. 
 (e) Reliance on Exemptions.
The Buyer understands that the Securities are being offered and sold to it in reliance on specific exemptions from the registration requirements of United States federal and state securities laws and that the Company is relying in part upon the
truth and accuracy of, and the Buyer’s compliance with, the representations, warranties, agreements, acknowledgments and understandings of the Buyer set forth herein in order to determine the availability of such exemptions and the eligibility
of the Buyer to acquire the Securities. 
 (f) Information and Exculpation. 

  
 -4-

 (i) The Buyer and its advisors, if any, have been furnished with all
materials relating to the business, finances, prospects and operations of the Company and materials relating to the offer and sale of the Securities that have been requested by the Buyer as it has deemed necessary or appropriate to conduct its due
diligence investigation and has sufficient knowledge and experience in investing in companies similar to the Company in terms of the Company’s stage of development so as to be able to evaluate the risks and merits of its investment in the
Company. The Buyer and its advisors, if any, have been afforded the opportunity to ask questions of the Company. The Buyer understands that (i) its investment in the Securities involves a high degree of risk and is able to afford a complete
loss of such investment, (ii) it will be required to bear the financial risks of an investment in the Securities for an indefinite period of time and (iii) prior to making an investment in the Securities, the Buyer has concluded that it is
able to bear those risks for an indefinite period. The Buyer has sought such accounting, legal and tax advice as it has considered necessary to make an informed investment decision with respect to its acquisition of the Securities. 

(ii) The Buyer acknowledges that it is making such investment based on the results of its own due diligence investigation
of the Company, including the representations and warranties being made by the Company in this Agreement, and the Buyer has not relied on any information or advice furnished by or on behalf of Jefferies, as placement agent (in such capacity, the
“Placement Agent”), in connection with the transactions contemplated hereby. The Buyer acknowledges that Placement Agent has not made any representations and warranties with respect to the Company or the transactions contemplated
hereby, and the Buyer will not rely on any statements made by Placement Agent, orally or in writing, to the contrary. The Buyer further acknowledges that Placement Agent will not be responsible for the ultimate success of its investment in the
Company. In light of the foregoing, to the fullest extent permitted by law, the Buyer releases Placement Agent, its employees, officers and affiliates from any liability with respect to the Buyer’s participation in the transactions contemplated
hereby. 
 (iii) The Buyer and its advisors, if any, have had access to and opportunity to review the
Confidential Information Memorandum and all filings made by the Company with the SEC pursuant to the Securities Exchange Act of 1934, as amended (the “1934 Act”), on or after March 31, 2010 (the “1934 Act
Filings”). Neither any inquiries of the Buyer pursuant to subparagraph (i) of this Section 2(f) nor any other due diligence investigation conducted by the Buyer shall modify, limit or otherwise affect the Buyer’s right to
rely on the Company’s and each Guarantor’s representations and warranties contained in this Agreement; provided, however, the Buyer acknowledges and agrees that all representations and warranties made by the Company and each Guarantor in
the Agreement are qualified by any and all disclosures made in the 1934 Act Filings, including, without limitation, those set forth under the heading “Risk Factors” and “Cautionary Note Regarding Forward-Looking Statements.”

 (g) No Governmental Review. The Buyer understands that no United States federal or state agency or any
other government or governmental agency has passed on or made any recommendation or endorsement of the Securities or the fairness or suitability of the investment in the Securities nor have such authorities passed upon or endorsed the merits of the
offering of the Securities. 

  
 -5-

 (h) Transfer or Resale. The Buyer understands that: (i) the
Securities have not been and, except as provided in Section 4.22 of the Indenture, are not being registered under the 1933 Act or any state securities laws, and may not be offered for sale, sold, assigned or transferred unless
(A) subsequently registered thereunder, (B) the Buyer shall have delivered to the Company an opinion of counsel, in a form reasonably acceptable to the Company, to the effect that such Securities to be sold, assigned or transferred may be
sold, assigned or transferred pursuant to an exemption from such registration, or (C) the Buyer provides the Company with reasonable assurance that such Securities can be sold, assigned or transferred pursuant to Rule 144 or Rule 144A
promulgated under the 1933 Act, as amended, (or a successor rule thereto) (collectively, “Rule 144”); (ii) any sale of the Securities made in reliance on Rule 144 may be made only in accordance with the terms of Rule 144 and
further, if Rule 144 is not applicable, any resale of the Securities under circumstances in which the seller (or the Person) through whom the sale is made) may be deemed to be an underwriter (as that term is defined in the 1933 Act) may require
compliance with some other exemption under the 1933 Act or the rules and regulations of the SEC thereunder; and (iii) neither the Company nor any other Person is under any obligation to register the Securities under the 1933 Act or any state
securities laws or to comply with the terms and conditions of any exemption thereunder. 
 (i) Legends.
The Buyer understands that upon the original issuance thereof, and until such time as the same is no longer required under applicable requirements of the Securities Act and applicable state securities laws, the certificates or other instruments
representing the Notes, and all certificates or other instruments issued in exchange therefor or in substitution thereof, shall bear the legend(s) set forth in the form of Note included in the Indenture, and the Company shall make a notation on its
records and give instructions to the Trustee and the transfer agent of the Notes in order to implement the restrictions on transfer set forth and described herein and therein. 

(j) No Conflicts. The execution, delivery and performance by the Buyer of this Agreement and the consummation by
the Buyer of the transactions contemplated hereby and thereby will not (i) result in a violation of the organizational documents of the Buyer or (ii) conflict with, or constitute a default (or an event which with notice or lapse of time or
both would become a default) under, or give to others any rights of termination, amendment, acceleration or cancellation of, any agreement, indenture or instrument to which the Buyer is a party, or (iii) result in a violation of any law, rule,
regulation, order, judgment or decree (including federal and state securities laws) applicable to the Buyer, except in the case of clauses (ii) and (iii) above, for such conflicts, defaults, rights or violations which would not,
individually or in the aggregate, reasonably be expected to have a material adverse effect on the ability of the Buyer to perform its obligations hereunder. 
 (k) Residency. The Buyer is a resident of that jurisdiction specified below its signature on the signature pages hereto. 

(l) No General Solicitation. The Buyer acknowledges that the Securities were not offered to the Buyer by means of
any form of general or public solicitation or general advertising, or publicly disseminated advertisements or sales literature, including (i) any advertisement, article, notice or other communication published in any newspaper, magazine,

  
 -6-

 
website, or similar media, or broadcast over television or radio, or (ii) any seminar or meeting to which the Buyer was invited by any of the foregoing means of communications. 

(m) Brokers. No Person will have, as a result of the transactions contemplated by the Transaction Documents, any
valid right, interest or claim against or upon the Company or any Subsidiary (as defined below) for any commission, fee or other compensation pursuant to any agreement, arrangement or understanding entered into by or on behalf of the Buyer.

 (n) Filings. If required by applicable securities legislation, regulatory policy or order, or if
required or requested by any securities commission, stock exchange or other regulatory authority, at the request of and at the sole expense of the Company, the Buyer shall execute, deliver and file and otherwise assist the Company in filing reports,
questionnaires, undertakings and other documents with respect to the issue of the Notes. 
 (o) United States
Federal Taxation. The Buyer understands and acknowledges that the U.S. federal income tax consequences of ownership and disposition of the Notes are not free from doubt. However, the Company and the Buyer, on behalf of itself and any beneficial
holder of the Notes, hereby agree, for United States federal income tax purposes, to be bound by the Company’s determination of the issue price of the Notes. The Company agrees to provide promptly to each holder of a Note, upon written request,
the amount of original issue discount, if any, the issue price, the issue date, and the yield to maturity with respect to the Notes. Such holder may request such information by writing to the Company at the address provided for notices in Section
(8)(f) hereof. 
 Important Note: 

Any discussion of tax matters contained herein is not intended or written by the Company or any of its advisors to be used, and it cannot be used or
relied upon, by the Buyer or any other Person for the purpose of avoiding penalties that may be imposed under United States federal income tax law. Any such discussion was written to support the promotion or marketing of the Notes in the offering
contemplated by this Agreement. 
 The Company advises the Buyer to seek advice concerning the tax aspects of and tax considerations involved in
acquiring and holding the Notes from an independent tax adviser. The Buyer acknowledges that it has sought such independent tax advice as it has considered necessary to make an informed investment decision with respect to the U.S. federal income tax
consequences, as well as with respect to the laws of any state, local or foreign jurisdiction that are applicable to the Buyer, of owning and disposing of the Notes. 

  
 -7-

 3. REPRESENTATIONS AND WARRANTIES OF THE COMPANY AND THE GUARANTORS. 

The Company and the Guarantors, jointly and severally, represent and warrant to the Buyer that, subject to the disclosures
in the Company’s 1934 Act Filings: 
 (a) Organization and Qualification. Each of the Company and its
“Subsidiaries” (which for purposes of this Agreement means any entity (i) in which the Company, directly or indirectly, owns not less than 25% of the capital stock or holds a corresponding equity or similar interest and
(ii) which has operations) is duly incorporated or organized, as the case may be, and validly existing in good standing under the laws of the jurisdiction in which they are incorporated or organized, as applicable, and have the requisite power
and authority to own their properties and to carry on their business as now being conducted. Each of the Company and its Subsidiaries is duly qualified as a foreign corporation to do business and is in good standing in every jurisdiction in which
its ownership of property or the nature of the business conducted by it makes such qualification necessary, except to the extent that the failure to be so qualified or be in good standing would not reasonably be expected to have a Material Adverse
Effect. As used in this Agreement, “Material Adverse Effect” means any material adverse effect on the business, properties, assets, operations, results of operations, condition (financial or otherwise) or prospects of the Company
and its Subsidiaries, taken as a whole, or on the transactions contemplated hereby and the other Transaction Documents or by the agreements and instruments to be entered into in connection herewith or therewith, or on the authority or ability of the
Company to perform its obligations under the Transaction Documents. 
 (b) Authorization; Enforcement;
Validity. 
 (i) The Company and each Guarantor has the requisite corporate power and authority to enter into
and perform its obligations under this Agreement, the Other Purchase Agreements, the Notes, the Guarantees, the Indenture and the Collateral Documents (as defined in the Indenture) (collectively, the “Transaction Documents”) and to
issue the Securities in accordance with the terms hereof and thereof. The execution and delivery of the Transaction Documents by the Company and each Guarantor and the consummation by the Company and each Guarantor of the transactions contemplated
hereby and thereby, including, without limitation, the issuance of the Notes and the granting of a security interest in the Collateral (as defined in the Indenture) have been duly authorized by the Company’s and each Guarantor’s Board of
Directors and no further filing, consent or authorization is required in connection therewith (other than (i) the filing of appropriate UCC financing statements and analogous registrations with the appropriate states, provinces and other
authorities pursuant to the Collateral Documents, (ii) the filing of grant deeds or similar security instruments with the U.S. Copyright Office and the U.S. Patent and Trademark Office, (iii) the filing of a Form D with respect to the
Notes as required under Regulation D and (iv) such filings required under applicable securities or “Blue Sky” laws of the states of the United States). This Agreement and the other Transaction Documents have been duly executed and
delivered by the Company and each Guarantor, and constitute the legal, valid and binding obligations of the Company and each Guarantor, enforceable against the Company and each Guarantor in accordance with their respective terms, except as such
enforceability may be limited by general principles of equity or 

  
 -8-

 
applicable bankruptcy, insolvency, reorganization, moratorium, liquidation or similar laws relating to, or affecting generally, the enforcement of applicable creditors’ rights and remedies.

 (ii) The provisions of each Collateral Document are effective to create, in favor of Wilmington Trust FSB, in
its capacity as Collateral Agent (the “Collateral Agent”), for the benefit of the Secured Parties (as defined in the Indenture), legal, valid and enforceable first priority liens (subject to Permitted Liens (as defined in the
Indenture)) in the Collateral, and all necessary recordings and filings will be made in all necessary public offices and all other necessary and appropriate action will be taken so that the liens created by the Collateral Documents will constitute
perfected first priority liens (with such exceptions as contemplated thereby) on or in the Collateral described therein and all necessary consents to the creation, effectiveness, priority and perfection of each such lien will have been obtained to
the extent required under each Collateral Document. 
 (c) Issuance of the Notes. 

(i) The Notes, when issued, will be in the form contemplated by the Indenture. The Notes have been duly and validly
authorized by the Company and when issued, authenticated and delivered by the Company against payment thereof by the Buyer as provided herein and in the Indenture, will have been duly executed, issued and delivered and will be legal, valid and
binding obligations of the Company, entitled to the benefit of the Indenture and the Collateral Documents, and enforceable against the Company in accordance with their terms, except insofar as such enforceability may be subject to
(i) bankruptcy, insolvency, reorganization, receivership, moratorium, fraudulent conveyance or other similar laws now or hereafter in effect relating to creditors’ rights generally and (ii) general principles of equity (whether
applied by a court of law or equity) and the discretion of the court before which any proceeding therefor may be brought. 
 (ii) The Guarantees have been duly and validly authorized by each of the Guarantors and, when executed and delivered in accordance with the terms of the Indenture and when the Notes have been and when
issued, authenticated and delivered by the Company against payment thereof by the Buyer in accordance with the terms of this Agreement and the Indenture and delivered to and paid for in accordance with the terms hereof and thereof, will have been
duly executed, issued and delivered and will be legal, valid and binding obligations of the Guarantors, entitled to the benefit of the Indenture and the Collateral Documents, and enforceable against each of the Guarantors in accordance with their
terms, except insofar as such enforceability may be subject to (i) bankruptcy, insolvency, reorganization, receivership, moratorium, fraudulent conveyance or other similar laws now or hereafter in effect relating to creditors’ rights
generally, and (ii) general principles of equity (whether applied by a court of law or equity) and the discretion of the court before which any proceeding therefor may be brought. 

(d) No Conflicts. The execution, delivery and performance of the Transaction Documents by the Company and each
Guarantor and the consummation by the Company and each Guarantor of the transactions contemplated hereby and thereby (including, without limitation, the issuance of the Securities) will not (i) result in a violation of any certificate of
incorporation, certificate of formation, any certificate of designations or other constituent documents of the Company or any of its Subsidiaries, any capital stock of the Company or any of 

  
 -9-

 
its Subsidiaries or bylaws of the Company or any of its Subsidiaries, or (ii) conflict with, or constitute a default (or an event which with notice or lapse of time or both would become a
default) under, or give to others any rights of termination, amendment, acceleration or cancellation of, any agreement, indenture or instrument to which the Company or any of its Subsidiaries is a party, or (iii) result in a violation of any
applicable law, rule, regulation, order, judgment or decree (including federal and state securities laws and regulations and the rules and regulations of the New York Stock Exchange (the “Principal Market”)) applicable to the
Company or any of its Subsidiaries or by which any property or asset of the Company or any of its Subsidiaries is bound or affected, except in the cases of clauses (ii) and (iii) such as would not reasonably be expected to have a Material
Adverse Effect. 
 (e) Consents. The Company is not required to obtain any consent, authorization or order
of, or make any filing or registration with, any court, governmental agency or any regulatory or self-regulatory agency or any other Person in order for it to execute, deliver or perform any of its obligations under or contemplated by the
Transaction Documents, in each case in accordance with the terms hereof or thereof (other than (x) any consent, authorization or order that has been obtained as of the date hereof, (y) any filing or registration that has been made as of
the date hereof or (z) any filings which may be required to be made by the Company with the SEC, state securities administrators or the Principal Market, subsequent to the Closing; provided that, for purposes of the representation made in this
sentence, the Company is assuming and relying upon the accuracy of the relevant representations and agreements of the Buyer herein). 
 (f) Acknowledgment Regarding Buyer’s Purchase of Securities. The Company acknowledges and agrees that the Buyer is acting solely in the capacity of an arm’s length purchaser with respect
to the Transaction Documents and the transactions contemplated hereby and thereby and that no Buyer is (i) an officer or director of the Company, (ii) an “affiliate” of the Company or any of its Subsidiaries (as defined in Rule
144 of the 1933 Act), or (iii) to the knowledge of the Company, a “beneficial owner” of more than 10% of the shares of the Company’s common stock (as defined for purposes of Rule 13d-3 of the 1934 Act). The Company further
acknowledges that no Buyer is acting as a financial advisor or fiduciary of the Company or any of its Subsidiaries (or in any similar capacity) with respect to the Transaction Documents and the transactions contemplated hereby and thereby, and any
advice given by a Buyer or any of its representatives or agents in connection with the Transaction Documents and the transactions contemplated hereby and thereby is merely incidental to the Buyer’s purchase of the Securities. The Company
further represents to the Buyer that the Company’s decision to enter into the Transaction Documents has been based solely on the independent evaluation by the Company and its representatives. 

(g) No General Solicitation; Placement Agent’s Fees. Neither the Company nor any of its Subsidiaries, or to
the Company’s knowledge, any of its or their affiliates, nor any Person acting on its or their behalf, has engaged in any form of general solicitation or general advertising (within the meaning of Regulation D) in connection with the offer or
sale of the Securities. The Company shall be responsible for the payment of any placement agent’s fees, financial advisory fees, or brokers’ commissions (other than for Persons engaged by any Buyer or its investment advisor) relating to or
arising out of the transactions contemplated hereby. The Company acknowledges that it has engaged Jefferies & Company, Inc. as Placement Agent in 

  
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connection with the sale of the Securities. Other than the Placement Agent, neither the Company nor any of its Subsidiaries has engaged any other placement agent in connection with the sale of
the Securities and no Person (other than the Placement Agent) is entitled to any placement agent, financial advisory, finder’s or other fee arising from this transaction as a result of any agreement, arrangement or understanding entered into by
or on behalf of the Company. 
 (h) No Integrated Offering. None of the Company, its Subsidiaries, any of
their affiliates, and any Person acting on their behalf has, directly or indirectly, made any offers or sales of any security or solicited any offers to buy any security, under circumstances that would require registration of the issuance of any of
the Securities under the 1933 Act, whether through integration with prior offerings or otherwise, or cause this offering of the Securities to require approval of stockholders of the Company for purposes of any applicable stockholder approval
provisions, including, without limitation, under the rules and regulations of any exchange or automated quotation system on which any of the securities of the Company are listed or designated. None of the Company, its Subsidiaries, their affiliates
and any Person acting on their behalf will take any action or steps referred to in the preceding sentence that would require registration of the issuance of any of the Securities under the 1933 Act or cause the offering of the Securities to be
integrated with other offerings for purposes of any such applicable stockholder approval provisions. 
 (i)
1934 Act Filings and Historical Financial Statements. As of their respective filing dates, the 1934 Act Filings complied in all material respects with the requirements of the 1934 Act and the rules and regulations of the SEC promulgated
thereunder applicable to the 1934 Act Filings, and none of the 1934 Act Filings, at the time they were filed with the SEC (as the information contained in such 1934 Act Filings may have been amended, modified, supplemented, corrected, rescinded or
otherwise withdrawn in subsequent material filed by the Company with the SEC), contained any untrue statement of a material fact or omitted to state a material fact required to be stated therein or necessary in order to make the statements therein,
in the light of the circumstances under which they were made, not misleading; provided that the Company makes no representation or warranty with respect to the information contained in the Company’s current report on Form 8-K filed on
March 8, 2011. The consolidated audited financial statements of the Company and its Subsidiaries for the Fiscal Year ended March 31, 2010 were prepared in conformity with U.S. generally accepted accounting principles
(“GAAP”) in effect as of the date thereof and fairly present, in all material respects, the financial position, on a consolidated basis, of the Company and its Subsidiaries as at the date thereof and the results of operations and
cash flows, on a consolidated basis, of the entities described therein for the period then ended. 
 (j)
Absence of Certain Changes. Since March 31, 2010, other than as disclosed in the 1934 Act Filings, no event, circumstance or change has occurred that has caused or evidences, or could reasonably be expected to result in, either in any
case or in the aggregate, a Material Adverse Effect. 
 (k) No Undisclosed Events, Liabilities, Developments
or Circumstances. No event, liability, development or circumstance has occurred or exists, or is contemplated to occur, with respect to the Company or its Subsidiaries or their respective business, properties, prospects, operations or financial
condition, that would be required to be disclosed by the 

  
 -11-

 
Company under applicable securities laws in its reports under Section 13(a) or 15(d) of the 1934 Act and which has not been publicly announced. 

(l) Conduct of Business. Neither the Company nor any of its Subsidiaries (a) is in violation of any term of or
in default under its Certificate of Incorporation or Bylaws or other organizational documents; (b) is in violation of any applicable laws that, individually or in the aggregate, could reasonably be expected to have a Material Adverse Effect;
(c) is subject to or in default with respect to any final judgments, writs, injunctions, decrees, rules or regulations of any court or any federal, state, municipal or other governmental department, commission, board, bureau, agency or
instrumentality, domestic or foreign, that, individually or in the aggregate, could reasonably be expected to have a Material Adverse Effect or (d) is in breach of or default under any material bond, debenture, note or other evidence of
indebtedness, indenture, mortgage, deed of trust, lease or any other material agreement or instrument to which it is a party or by which it or its assets are bound (collectively, the “Applicable Agreements”), except as set forth in
the Confidential Information Memorandum or for such violations, breaches or defaults that could not, individually or in the aggregate, reasonably be expected to have a Material Adverse Effect. 

(m) Foreign Corrupt Practices. Neither the Company nor any of its Subsidiaries nor, to the Company’s
knowledge, any director, officer, agent, employee or other Person acting on behalf of the Company or any of its Subsidiaries has, in the course of its actions for, or on behalf of, the Company or any of its Subsidiaries (i) used any corporate
funds for any unlawful contribution, gift, entertainment or other unlawful expenses relating to political activity; (ii) made any direct or indirect unlawful payment to any foreign or domestic government official or employee from corporate
funds; (iii) violated or is in violation of any provision of the U.S. Foreign Corrupt Practices Act of 1977, as amended; or (iv) made any unlawful bribe, rebate, payoff, influence payment, kickback or other unlawful payment to any foreign
or domestic government official or employee. 
 (n) Transactions With Affiliates. Except as set forth in
the 1934 Act Filings, none of the officers, directors or employees of the Company or any of its Subsidiaries is presently a party to any transaction with the Company or any of its Subsidiaries (other than for ordinary course services as employees,
officers or directors), including any contract, agreement or other arrangement providing for the furnishing of services to or by, providing for rental of real or personal property to or from, or otherwise requiring payments to or from any such
officer, director or employee or, to the knowledge of the Company or any of its Subsidiaries, any corporation, partnership, trust or other entity in which any such officer, director, or employee has a substantial interest or is an officer, director,
trustee or partner. 
 (o) Capitalization and Use of Proceeds. The table under the caption
“Capitalization” in the Confidential Information Memorandum (including the footnotes thereto) sets forth, as of its date, the long term indebtedness of the Company, including (A) the actual long term indebtedness of the Company
(excluding any make whole premium associated with early payment of any debt) and (B) the as adjusted long term indebtedness of the Company, after giving effect to the offer and sale of the Notes and the application of the net proceeds therefrom
as described in the Confidential Information Memorandum under the section entitled “Use of Proceeds.” The table under the caption “Use of Proceeds” in the Confidential Information

  
 -12-

 
Memorandum (including the footnotes thereto) sets forth, as of its date, the Company’s intended use of proceeds from the sale of the Notes. 

(p) Material Contracts. Schedule 3(p) contains a true, correct and complete list of all the Applicable
Agreements in effect on and as of the Closing Date. Except as described on Schedule 3(p), all such Applicable Agreements are in full force and effect and no defaults currently exist by the Company or any Subsidiary and, to the knowledge of
the Company, to any other Person party thereto. 
 (q) Absence of Litigation. Except as set forth in
Schedule 3(q) or as disclosed in the 1934 Act Filings, to the Company’s knowledge, there are no legal proceedings about to be commenced or threatened against the Company or any of its Subsidiaries except potential product liability
claims which may be asserted in the ordinary course of business (but none of which would exceed, in the aggregate, the insurance coverage of the Company and its subsidiaries). To the Company’s knowledge, there are no legal proceedings about to
be commenced or threatened against such the Company or its Subsidiaries that could reasonably be expected to result in, or has resulted in, a Material Adverse Effect. 

(r) Insurance. The Company and each of its Subsidiaries are insured by insurers of recognized financial
responsibility against such losses and risks and in such amounts as management of the Company believes to be prudent and customary in the businesses in which the Company and its Subsidiaries are engaged. Neither the Company nor any Subsidiary has
any reason to believe that it will not be able to renew its existing insurance coverage as and when such coverage expires or to obtain similar coverage from similar insurers as may be necessary to continue its business. 

(s) Employee Relations. Neither the Company nor any of its Subsidiaries has knowledge of any unfair labor practice
that could reasonably be expected to have a Material Adverse Effect. There is (a) no unfair labor practice complaint pending against the Company or any of its Subsidiaries, or to the knowledge of the Company, threatened against any of them
before the National Labor Relations Board and no grievance or arbitration proceeding arising out of or under any collective bargaining agreement that is so pending against the Company or any of its Subsidiaries or to the knowledge of the Company,
threatened against any of them, (b) no strike or work stoppage in existence or threatened involving the Company or any of its Subsidiaries, and (c) to the knowledge of the Company, no union representation question existing with respect to
the employees of the Company or any of its Subsidiaries and, to the best knowledge of the Company, no union organization activity that is taking place, except such as is not reasonably likely to have a Material Adverse Effect. 

(t) Title. Except for pursuant to the arrangements set forth on Schedule 3(t), the Company and its
Subsidiaries have good and marketable title in fee simple to all real property and good and marketable title to all personal property owned by them which is material to the business of the Company and its Subsidiaries, in each case free and clear of
all liens, encumbrances and defects except such as do not materially affect the value of such property and do not interfere with the use made and proposed to be made of such property by the Company and any of its Subsidiaries. Any real property and
facilities held under lease by the Company and any of its Subsidiaries are held by them under valid, subsisting and enforceable leases with 

  
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such exceptions as are not material and do not interfere with the use made and proposed to be made of such property and buildings by the Company and its Subsidiaries. 

(u) Intellectual Property Rights. Attached hereto as Schedule 3(u) is a true, correct, and complete listing,
as of the date hereof, of (i) all trademark registrations and pending trademark applications, copyright registrations, issued patents and pending patent applications and domain name registrations, as to which the Company or any Subsidiary is
the owner (other than Intellectual Property registrations and applications owned by the Company or any Subsidiary that are either (A) expired or lapsed, (B) abandoned, or (C) Intellectual Property registrations or applications that
the Company has instructed its applicable advisor, including in-house counsel, to abandon or allow to lapse), (ii) all Intellectual Property licenses to which the Company or any Subsidiary is a party (other than computer software licenses and
confidentiality/non-disclosure agreements), and (iii) all litigation, and all U.S. oppositions or cancellation actions and material non-U.S. oppositions or cancellation actions, against the Company or any Subsidiary that are presently pending
or, to the knowledge of the Company, threatened, contesting the validity, use, ownership, enforceability or registrability of any of the Intellectual Property owned by the Company or any of its Subsidiaries. The Company and each of the Subsidiaries
exclusively own, free and clear of all liens, claims or encumbrances, other than any liens, claims or encumbrances to U.S. Healthcare I, L.L.C. (which liens shall be released as of the Closing Date), U.S. Healthcare II, L.L.C. (which liens shall be
released as of the Closing Date) or Hologic, Inc., or have the right to use pursuant to a valid and enforceable written license set forth on Schedule 3(u) (other than computer software licenses), all Intellectual Property that is used in the
conduct of their businesses. All Intellectual Property listed in Schedule 3(u) owned by the Company or any Subsidiary, is valid, subsisting and enforceable. Except as set forth on Schedule 3(u), (a) the operation of the Company
and each Subsidiary’s businesses (including the commercialization of the Company’s Makena product), do not infringe, misappropriate or otherwise conflict with, any Intellectual Property rights or other rights of other persons in respect of
any asset or product which currently generates revenue or is anticipated to generate revenue in the future or is material to the Company, and the Company is not, and none of the Subsidiaries are, aware of any facts which indicate a likelihood of any
of the foregoing, and (b) the Company has not, and none of the Subsidiaries have, in the past two (2) years received any notices that could reasonably be expected to adversely affect the Company’s or any Subsidiary’s use or
ownership of Intellectual Property (including any demand letters related to Intellectual Property or unsolicited offers to license patents from any other person), and (c) to the knowledge of the Company, no third party is currently infringing,
misappropriating or otherwise conflicting with any of the Company’s or any of the Subsidiaries’ Intellectual Property rights 
 (v) FDA and Regulatory Matters. 
 (i) All approvals of New
Drug Applications (“NDAs”) and Abbreviated New Drug Applications (“ANDAs”) and any supplements and amendments to such NDAs and ANDAs are valid and effective, all necessary reports and submissions have been made to
the Food and Drug Administration (“FDA”), and all applicable fees with respect to such applications have been paid to FDA. 

  
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 (ii) Except as set forth on Schedule 3(v), the Company and its
Subsidiaries possess all permits, licenses, approvals, consents and other authorizations, including but not limited to, NDAs, ANDAs, and all supplements and amendments to such applications and appropriate state licenses, permits and registrations,
submitted to the appropriate governmental entity necessary to conduct the business of the Company and its Subsidiaries, including without limitation, all such registrations, approvals, certificates, authorizations and permits required by the FDA,
the United States Drug Enforcement Administration, Governmental Authority, and all such are in full force and effect. Each of the Company’s and its Subsidiaries’ products are and have been, since March 2009, developed, manufactured,
labeled, stored, tested and distributed by such Person for products distributed in the marketplace in compliance with all applicable laws, rules, regulations and orders of the FDA or of any applicable state or other Governmental Authority.

 (iii) The manufacture of products by the Company and its Subsidiaries will be conducted in compliance with the
applicable requirements of the FDA’s Current Good Manufacturing Practices and pursuant to the terms of the Consent Decree. All of the Company’s facilities are registered with the FDA and all of their products are listed with the FDA as
required by the FDA’s regulations, 21 C.F.R. Part 207. 
 (iv) The Company and its Subsidiaries have
complied with and will comply with, all the FDA post-approval commitments and reporting requirements, including but not limited to, adverse event reporting obligations. 

(v) To the knowledge of the Company and its Subsidiaries, there are no facts or circumstances that could reasonably be
construed as indicating that marketing approval for any of the Company’s or its Subsidiaries’ products will be withdrawn or that the Company and its Subsidiaries will not obtain approval for any products currently pending approval by the
FDA or any Governmental Authority. The Company and its Subsidiaries shall use such prompt, substantial and persistent efforts to take, or cause to be taken, all actions, or to do, or cause to be done, all things reasonably necessary, proper or
advisable under applicable laws to obtain all consents and approvals of any Governmental Authority. 
 (vi) No
Exclusion Affiliate (i) has any direct or indirect ownership or control interest (as defined in Section 1124(a)(3) of the SSA) in the Company or any of its Subsidiaries except to the extent expressly permitted by the HHS-OIG Agreements,
(ii) serves as an officer, director, agent, managing employee or employee (as defined in Section 1126(b) of the SSA) of the Company or any of its Subsidiaries, directly or indirectly, officially or otherwise or (iii) furnishes any
services as an independent contractor or consultant to the Company or any of its Subsidiaries. “Exclusion Affiliate” means the Company’s affiliates (as defined or applied under applicable law including the SSA) or Affiliates,
including any natural Persons, trusts, or otherwise and including, for the avoidance of doubt, Marc Hermelin, in each case as to which exclusion actions or possible exclusion actions by HHS-OIG exist. “Affiliate” means as applied to
any (i) Person, any other Person directly or indirectly controlling, controlled by, or under common control with, that Person and (ii) the Company, Victor M. Hermelin or Marc S. Hermelin,

  
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or any of their direct descendants, any members of their family, or any trust or other similar entity formed for their benefit or for the benefit of their family. For the purposes of this
definition, “control” (including, with correlative meanings, the terms “controlling”, “controlled by” and “under common control with”), as applied to any Person, means the possession, directly or indirectly,
of the power (i) to vote 10% or more of the Company’s stock having ordinary voting power for the election of directors of such Person or (ii) to direct or cause the direction of the management and policies of that Person, whether
through the ownership of voting securities or by contract or otherwise. “SSA” means the Social Security Act of the United States. “HHS-OIG Agreements” means the HHS-OIG Agreement (Ethex) and the HHS-OIG Agreement
(Hermelin). “HHS-OIG Agreement (Ethex)” means Divestiture Agreement entered into by and between the Office of Inspector General of the United States Department of Health and Human Services, K-V Pharmaceutical Corporation, and its
subsidiary ETHEX Corporation, which agreement was entered into by the parties thereto, and became effective, on November 15, 2010. “HHS-OIG Agreement (Hermelin)” means that certain Settlement Agreement entered into by and among
the Office of Inspector General of the United States Department of Health and Human Services, K-V Pharmaceutical Company, Sarah Weltscheff and Marc Hermelin, which agreement was entered into by the parties thereto, and became effective, on
November 15, 2010, together with the Attachment A and Schedule of Divestitures thereto, as in effect on the Closing Date. 
 (vii) There has not occurred any event or condition the result of which could lead to an HHS-OIG Agreement ceasing to be operative. 

(viii) Each of the Company’s representations set forth in any HHS-OIG Agreement and any document or agreement related
thereto is true, accurate and complete in all respects, and the Company is not aware (after reasonable diligence and inquiry) of any fact or circumstance that could render any Person’s representations in such agreements to be false or
misleading. 
 (w) Environmental Laws. Except as described in the 1934 Act Filings, the Company and its
Subsidiaries (i) are in compliance with any and all applicable Environmental Laws (as hereinafter defined), (ii) have received all certificates, permits, authorities, licenses or other approvals (collectively, “Permits”)
required of them under applicable Environmental Laws to conduct their respective businesses as currently conducted and (iii) are in compliance with all terms and conditions of any such Permit where, in each of the foregoing clauses (i),
(ii) and (iii), the failure to so comply would be reasonably expected to have, individually or in the aggregate, a Material Adverse Effect. The term “Environmental Laws” means all federal, state, local or foreign laws relating
to pollution or protection of human health or the environment (including, without limitation, ambient air, surface water, groundwater, land surface or subsurface strata), including, without limitation, laws relating to emissions, discharges,
releases or threatened releases of chemicals, pollutants, contaminants, or toxic or hazardous substances or wastes (collectively, “Hazardous Materials”) into the environment, or otherwise relating to the manufacture, processing,
distribution, use, treatment, storage, disposal, transport or handling of Hazardous Materials, as well as all authorizations, codes, decrees, demands or demand letters, injunctions, judgments, licenses, notices or notice letters, orders, Permits,
plans or regulations issued, entered, promulgated or approved thereunder. 

  
 -16-

 (x) Subsidiary Rights. The Company has the unrestricted right to
vote, and (subject to limitations imposed by applicable law) to receive dividends and distributions on, all capital securities of its Subsidiaries as owned by the Company. 

(y) Payment of Taxes. All federal and other material tax returns and reports of the Company and its Subsidiaries
required to be filed by any of them have been timely filed, and all taxes shown on such tax returns to be due and payable and all assessments, fees and other governmental charges upon the Company and its Subsidiaries and upon their respective
properties, assets, income, businesses and franchises which are due and payable have been paid when due and payable, except for such taxes which are being contested in good faith and for which adequate reserves have been established in accordance
with GAAP. The Company knows of no proposed tax assessment against the Company or any of its Subsidiaries which is not being actively contested by the Company or such Subsidiary in good faith and by appropriate proceedings; provided, such
reserves or other appropriate provisions, if any, as shall be required in conformity with GAAP shall have been made or provided therefor. 
 (z) Internal Controls. Except as disclosed in the 1934 Act Filings, the Company is unaware of any material weakness or significant deficiencies in its internal control over financial reporting

 (aa) Off Balance Sheet Arrangements. There is no transaction, arrangement, or other relationship
between the Company and an unconsolidated or other off balance sheet entity that is required to be disclosed by the Company in the SEC Documents and is not so disclosed. 

(bb) Investment Company Status. The Company is not, and upon consummation of the sale of the Notes will not be, an
“investment company,” a company controlled by an “investment company” or an “affiliated person” of, or “promoter” or “principal underwriter” for, an “investment company” as such terms are
defined in the Investment Company Act of 1940, as amended. 
 (cc) Disclosure. The Confidential
Information Memorandum did not contain, as of its date, and does not now contain, any untrue statement of a material fact, and as of such date did not omit and does not now omit, to state a material fact necessary to make the statements contained
therein, in light of the circumstances under which they were made, not misleading. The Company confirms that neither it nor, to its knowledge, any other Person acting on its behalf has provided the Buyer or its agents or counsel with any information
that constitutes or could reasonably be expected to constitute material, nonpublic information (other than information relating to the offering of the Securities). The Company understands and confirms that the Buyer will rely on the foregoing
representations in effecting transactions in securities of the Company. All disclosure provided to the Buyer regarding the Company or any of its Subsidiaries, their business and the transactions contemplated hereby, including the Schedules to this
Agreement, furnished by or on behalf of the Company is true and correct and does not contain any untrue statement of a material fact or omit to state any material fact necessary in order to make the statements made therein, in the light of the
circumstances under which they were made, not misleading. No event or circumstance has occurred or information exists with respect to the Company or any of its Subsidiaries or its or their business, properties, prospects, operations or financial
conditions, which, under applicable law, rule or regulation, requires 

  
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public disclosure or announcement by the Company on or before the date hereof but which has not been so publicly announced or disclosed. 

(dd) U.S. Real Property Holding Corporation. The Company is not, nor has it ever been, a U.S. real property holding
corporation within the meaning of Section 897 of the Internal Revenue Code of 1986, as amended (the “Code”), and the Company shall so certify upon any Buyer’s request. 

(ee) ERISA Compliance. The Company, each of its Subsidiaries and each of their respective ERISA Affiliates are in
material compliance with all applicable provisions and requirements of ERISA and the Internal Revenue Code and the regulations and published interpretations thereunder with respect to each Employee Benefit Plan, and have performed all their
obligations under each Employee Benefit Plan. “Employee Benefit Plan” means any “employee benefit plan” as defined in Section 3(3) of ERISA (other than a Multiemployer Plan) which is or, within the last six years, was
sponsored, maintained or contributed to by, or required to be contributed by, the Company, any of its Subsidiaries or, solely with respect to any Employee Benefit Plan covered under Title IV of ERISA, any of their respective ERISA Affiliates.
“ERISA” means the Employee Retirement Income Security Act of 1974, as amended from time to time, and any successor thereto. Each Employee Benefit Plan which is intended to qualify under Section 401(a) of the Internal Revenue
Code has received a favorable determination letter from the Internal Revenue Service indicating that such Employee Benefit Plan is so qualified and nothing has occurred subsequent to the issuance of such determination letter which would cause such
Employee Benefit Plan to lose its qualified status. As of the date hereof, no liability to the PBGC (other than required premium payments and required minimum funding contributions), the Internal Revenue Service, any Employee Benefit Plan or any
trust established under any Employee Benefit Plan is expected to be incurred by the Company, any of its Subsidiaries or any of their ERISA Affiliates and none of the foregoing entities maintains, contributes to or has any liability with respect to
any Pension Plan or Multiemployer Plan. “PBGC” means the Pension Benefit Guaranty Corporation or any successor thereto. “Pension Plan” means any Employee Benefit Plan, other than a Multiemployer Plan, which is
subject to Section 412 of the Internal Revenue Code or Section 302 of ERISA. “Multiemployer Plan” means any Employee Benefit Plan which is a “multiemployer plan” as defined in Section 3(37) of ERISA. No
ERISA Event has occurred or is reasonably expected to occur which would result in material liability of the Company. “ERISA Event” means (i) a “reportable event” within the meaning of Section 4043 of ERISA and
the regulations issued thereunder with respect to any Pension Plan (excluding those for which the provision for 30-day notice to the PBGC has been waived by regulation); (ii) the failure to meet the minimum funding standard of Section 412
of the Internal Revenue Code with respect to any Pension Plan (whether or not waived in accordance with Section 412(c) of the Internal Revenue Code) or the failure to make by its due date a required installment under Section 430(j) of the
Internal Revenue Code with respect to any Pension Plan or the failure to make any required contribution to a Multiemployer Plan; (iii) the provision by the administrator of any Pension Plan pursuant to Section 4041(a)(2) of ERISA of a
notice of intent to terminate such plan in a distress termination described in Section 4041(c) of ERISA. Except to the extent required under Section 4980B of the Internal Revenue Code or similar state laws, no Employee Benefit Plan
provides health or welfare benefits (through the purchase of insurance or otherwise) for any retired or former employee of the Company or any of its Subsidiaries. “ERISA Affiliate” means, with respect to the Company or a subsidiary,
any 

  
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member of any group of organizations described in Sections 414(b),(c),(m) or (o) of the Code, and the regulations and published interpretations thereunder of which the Company or such
subsidiary is a member. 
 (ff) Money Laundering Laws. The operations of the Company and its subsidiaries
are, and have been conducted at all times, in compliance with applicable financial recordkeeping and reporting requirements of the Currency and Foreign Transactions Reporting Act of 1970, as amended, the money laundering statutes of all applicable
jurisdictions, the rules and regulations thereunder and any related or similar applicable rules, regulations or guidelines, issued, administered or enforced by any governmental agency (collectively, the “Money Laundering Laws”) and
no action, suit or proceeding by or before any court or governmental agency, authority or body or any arbitrator involving the Company or any of its subsidiaries with respect to the Money Laundering Laws is pending or, to the best knowledge of the
Company, threatened. 
 (gg) OFAC. Neither the Company nor any of its subsidiaries nor, to the
Company’s knowledge, any director, officer, agent, employee, affiliate or Person acting on behalf of the Company or any of its subsidiaries is currently subject to any U.S. sanctions administered by the Office of Foreign Assets Control of the
U.S. Treasury Department (“OFAC”); and the Company will not directly or indirectly use the proceeds of this offering, or lend, contribute or otherwise make available such proceeds to any subsidiary, joint venture partner or other
Person or entity, for the purpose of financing the activities of any Person currently subject to any U.S. sanctions administered by OFAC. 
 (hh) No Registration. Assuming (i) the accuracy of the representations and warranties of the Buyer contained in Section 2 hereof and the Buyer’s compliance with their agreements
contained in the Transaction Documents and (ii) the accuracy of the comparable representations and warranties of the Other Buyers contained in the Other Purchase Agreements and such Other Buyers’ compliance with their agreements contained
in the Transaction Documents, it is not necessary in connection with the offer, issuance, sale and delivery of the Notes in the manner contemplated by this Agreement and the Transaction Documents to register the offer or sale of any of the Notes
under the Securities Act or to qualify the Indenture under the Trust Indenture Act. 
 4. COVENANTS. 

(a) Best Efforts. Each party shall use its best efforts timely to satisfy each of the covenants and conditions to
be satisfied by it as provided in Sections 5 and 6 of this Agreement. 
 (b) Form D and Blue Sky. The
Company agrees to file a Form D with respect to the Securities as required under Regulation D and to provide a copy thereof to any Buyer upon request. The Company, on or before the Closing Date, shall take such action as the Company shall reasonably
determine is necessary in order to obtain an exemption for or to qualify the Securities for sale to the Buyer at the Closing pursuant to this Agreement under applicable securities or “Blue Sky” laws of the states of the United States (or
to obtain an exemption from such qualification), and shall provide evidence of any such action so taken upon Buyer’s request. The Company shall make all filings and reports as it reasonably determines are necessary

  
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relating to the offer and sale of the Securities required under applicable securities or “Blue Sky” laws of the states of the United States following the Closing Date; provided,
however, the Company shall not for any such purpose be required to qualify generally to transact business as a foreign corporation in any jurisdiction where it is not so qualified or to consent to general service of process in any such jurisdiction.

 (c) Use of Proceeds. The Company will use the proceeds from the sale of the Notes in the manner
described in the Confidential Information Memorandum under the caption “Use of Proceeds.” 
 (d)
Financial Information. For so long as any Notes remain outstanding and are “restricted securities” within the meaning of Rule 144(a)(3) under the Securities Act, the Company shall, during the period in which it is not subject to
Section 13 or 15(d) under the 1934 Act, make available to the Buyer and any holder of the Notes in connection with any sale thereof and any prospective purchaser of the Notes and securities analysts, in each case upon reasonable request, the
information specified in, and meeting the requirements of, Rule 144A(d)(4) under the Securities Act (or any successor thereto). 
 (e) Certain Fees and Expenses. The Company shall pay all transfer agent fees, stamp or transfer taxes and other taxes (not including income or similar taxes) and duties levied in connection with
the sale and issuance of the Notes. Except as otherwise expressly set forth in the Transaction Documents, each party to this Agreement shall bear its own fees and expenses in connection with the sale of the Notes to the Buyer (including, without
limitation, each party’s legal, accounting and other expenses). 
 (f) Disclosure of Transactions and
Other Material Information. On or before 9:30 a.m., New York City time, on the first Business Day following the date of this Agreement, the Company shall file a Current Report on Form 8-K describing the material terms of the transactions
contemplated by the Transaction Documents (the “8-K Filing”). From and after the filing of the 8-K Filing with the SEC, no Buyer shall be in possession of any material, nonpublic information received from the Company, any of its
Subsidiaries or any of their respective officers, directors, employees or agents, that is not disclosed in the 8-K Filing. The Company shall not, and shall cause each of its Subsidiaries and its and each of their respective officers, directors,
employees and agents, not to, provide any Buyer with any material, nonpublic information regarding the Company or any of its Subsidiaries from and after the filing of the 8-K Filing with the SEC without the express written consent of the Buyer.
Neither the Company, its Subsidiaries nor any Buyer shall issue any other press releases or any other public statements with respect to the transactions contemplated hereby; provided, however, that (A) the Company shall be entitled, without the
prior approval of any Buyer, to make any press release or other public disclosure with respect to such transactions (i) in substantial conformity with any of the material or information included in the 8-K Filing or (ii) as is required by
applicable law and regulations, and (B) any Buyer may make any filings and disclosures required by applicable law, rule or regulation, including any filings and disclosures required under Section 13 or Section 16 of the 1934 Act.
Without the prior written consent of any applicable Buyer, neither the Company nor any of its Subsidiaries or affiliates shall disclose the name of the Buyer in any filing, announcement, release or otherwise other than in connection with the
Exchange Offer 

  
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Registration Statement (as defined in the Indenture), as contemplated pursuant to Section 4.22 of the Indenture, or unless such disclosure is required by law, regulation or the Principal
Market. 
 (g) Conduct of Business. The business of the Company and its Subsidiaries shall not be
conducted in violation of any law, ordinance or regulation of any governmental entity, except where such violations would not reasonably be expected to result, either individually or in the aggregate, in a Material Adverse Effect. 

(h) General Solicitation. None of the Company, any of its affiliates (as defined in Rule 501(b) under the
Securities Act) or any person acting on behalf of the Company or such affiliate shall solicit any offer to buy or offer or sell the Notes by means of any form of general solicitation or general advertising within the meaning of Regulation D,
including: (i) any advertisement, article, notice or other communication published in any newspaper, magazine or similar medium or on the Internet or broadcast over television or radio; and (ii) any seminar or meeting whose attendees have
been invited by any general solicitation or general advertising. 
 (i) Integration. None of the Company,
any of its affiliates (as defined in Rule 501(b) under the Securities Act) or any person acting on behalf of the Company or such affiliate shall sell, offer for sale or solicit offers to buy or otherwise negotiate in respect of any security (as
defined in the Securities Act) which will be integrated with the sale of the Notes in a manner which would require the registration under the Securities Act of the Notes, and the Company shall take all action that is appropriate or necessary to
ensure that its offerings of other securities will not be integrated with the Offering for purposes of the Securities Act. 
 (j) Restricted Securities. During the one-year period after the Closing Date (or such shorter period as may be provided for in Rule 144 under the Securities Act, as the same may be in effect from
time to time), the Company shall not, and shall not permit any Subsidiaries of either the Company or any other “affiliates” (as defined in Rule 144A under the Securities Act) controlled by the Company to, resell any of the Notes which
constitute “restricted securities” under Rule 144 that have been reacquired by the Company, any Subsidiaries or any other affiliates controlled by the Company, except pursuant to an effective registration statement under the Securities Act
or valid exemption from the registration requirements thereunder. 
 (k) Taxes. The Buyer shall deliver to
the Company a properly completed and duly executed applicable Internal Revenue Service Form W-8 or W-9 that establishes a complete exemption from United States withholding tax. The Buyer shall provide replacement forms on the obsolescence of such
forms or inaccuracy of any information thereon. The Company agrees to pay all stamp, documentary and transfer taxes and other duties, if any, which may be imposed by the United States or any political subdivision thereof or taxing authority thereof
or therein with respect to the issuance of the Notes or the sale thereof to the Buyer. 
 (l) Collateral
Documents. The Company shall use its reasonable best efforts to complete on or prior to the Closing Date, or have arrangements satisfactory to the Collateral Agent in place for such completion of, all filings and other similar actions required
in connection with the perfection of security interests as and to the extent contemplated by the Collateral Documents. 

  
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 (m) DTC. The Company shall have paid all fees and expense (including
fees and expenses of counsel) of the Company in connection with approval of the Notes by DTC for “book-entry” transfer. The Company shall comply with the representation letter of the Company to DTC relating to the approval of the Notes by
DTC for “book-entry” transfer. 
 5. CONDITIONS TO THE COMPANY’S OBLIGATION TO SELL. 

The obligation of the Company and the Guarantors hereunder are subject to the satisfaction, at or before the Closing Date,
of each of the following conditions, provided that these conditions are for the sole benefit of the Company and the Guarantors and may be waived by the Company and the Guarantors at any time in its sole discretion by providing the Buyer with prior
written notice thereof: 
 (a) The Buyer shall have executed each of the Transaction Documents to which it is a
party and delivered the same to the Company. 
 (b) The Buyer and each other Buyer shall have delivered to the
Company, or to the Closing Agent on the Company’s behalf, the applicable Purchase Price for the Securities being purchased by the Buyer at the Closing by wire transfer of immediately available funds pursuant to the wire instructions provided by
the Company. 
 (c) The representations and warranties of the Buyer shall be true and correct in all material
respects (except for those representations and warranties that are qualified by materiality or material adverse effect, which shall be true and correct in all respects) as of the date when made and as of the Closing Date as though made at that time
(except for representations and warranties that speak as of a specific date, which shall be true and correct as of such specified date), and the Buyer shall have performed, satisfied and complied in all material respects with the covenants,
agreements and conditions required by this Agreement to be performed, satisfied or complied with by the Buyer at or prior to the Closing Date. 
 6. CONDITIONS TO THE BUYER’S OBLIGATION TO PURCHASE. 

The obligation of the Buyer hereunder to purchase the Securities at the Closing is subject to the satisfaction, at or
before the Closing Date, of each of the following conditions, provided that these conditions are for the Buyer’s sole benefit and may be waived by the Buyer at any time in its sole discretion by providing the Company with prior written notice
thereof: 
 (a) No injunction, restraining order or order of any nature by a governmental authority shall have
been issued as of the Closing Date that would prevent or materially interfere with the consummation of the Offering or any of the transactions contemplated hereby and thereby; and no stop order suspending the qualification or exemption from
qualification of any of the Notes in any jurisdiction shall have been issued and no proceeding for that purpose shall have been commenced or, to the knowledge of the Company, be pending or contemplated as of the Closing Date. 

(b) No action shall have been taken and no law shall have been enacted, adopted or issued that would, as of the Closing
Date, prevent the consummation of the Offering or any of the transactions contemplated hereby or thereby. No proceeding shall be pending or, to the knowledge of the Company, threatened other than proceedings (A) that if adversely

  
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determined could not, individually or in the aggregate, adversely affect the issuance or marketability of the Notes, and (B) that could not, individually or in the aggregate, reasonably be
expected to have a Material Adverse Effect. 
 (c) At the Closing Date, since the date hereof, no event or events
have occurred, no information has become known nor does any condition exist that could, individually or in the aggregate, reasonably be expected to have a Material Adverse Effect. 

(d) The Buyer shall have received on the Closing Date: 

(i) a certificate, dated the Closing Date, executed by the Secretary of the Company or such Guarantor, certifying as to
the (i) the resolutions consistent with Section 3(b) as adopted by the Company’s or Guarantor’s, as applicable, Board of Directors in a form reasonably acceptable to the Buyer, (ii) the Certificate of Incorporation and
(iii) the Bylaws, each as in effect at the Closing; 
 (ii) the opinion of Fried, Frank, Harris,
Shriver & Jacobson LLP, counsel to the Company and the Guarantors, dated the Closing Date, substantially in the form of Exhibit A attached hereto; 

(iii) the opinion of Thompson Coburn LLP, counsel to the Company and the Guarantors, dated the Closing Date, substantially
in the form of Exhibit B attached hereto; and 
 (iv) the opinion of the general counsel of the Company,
dated the Closing Date, substantially in the form of Exhibit C attached hereto. 
 The opinions delivered pursuant to this
Section 6(d) shall be addressed and delivered to the Closing Agent and the Buyer acknowledges that it (x) is not the beneficiary of such opinions and (y) has no right to rely on such opinions. 

(e) Each of the Transaction Documents shall have been executed and delivered by each of the parties thereto, and the Buyer
shall have received a fully executed original of each Transaction Document other than the Other Purchase Agreements. 
 (f) The Collateral Agent shall have received on the Closing Date: (i) appropriately completed copies of Uniform Commercial Code financing statements naming, in each case, each of the Company and each
Guarantor as a debtor and the Collateral Agent as the secured party, or other similar instruments or documents to be filed under the Uniform Commercial Code of all jurisdictions as may be necessary to perfect the security interests of the Collateral
Agent pursuant to the Collateral Documents; (ii) appropriately completed copies of Uniform Commercial Code Form UCC-3 termination statements necessary to release all liens (other than Permitted Liens) of any Person in any collateral described
in any Collateral Documents previously granted by any Person; (iii) certified copies of Uniform Commercial Code Requests for Information or Copies (Form UCC-11), or a similar search report certified by a party acceptable to the Collateral
Agent, dated a date reasonably near to the Closing Date, listing all effective financing statements which name the Company or any Guarantor (under its present name and any previous names) as the debtor, together with copies of such financing
statements 

  
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(none of which shall cover any collateral described in any Collateral Document, other than such financing statements that evidence permitted liens); (iv) all Pledged Equity Interests and
Pledged LLC Interests (each as defined in the Security Agreement) issued by each Subsidiary of the Company in favor of the Company or any Guarantor, together with undated stock power(s) or other instruments of transfer executed in blank;
(v) copies of the policies of insurance (or binders or insurance certificates in respect thereof), as are required by Section 4.09 of the Indenture; and (vii) such other approvals, opinions, or documents as either the Buyer or the
Collateral Agent may reasonably request in form and substance reasonably satisfactory to the Buyer or the Collateral Agent, as case may be. 
 The Buyer and its counsel shall be satisfied that (i) the liens granted to the Collateral Agent, for the benefit of the Secured Parties (as defined in the Security Agreement) in the collateral
described in the Collateral Documents is of the priority described in the Confidential Information Memorandum and the Collateral Documents; and (ii) no lien exists on any of the collateral described in the Collateral Documents other than the
liens created in favor of the Collateral Agent, for the benefit of the Secured Parties, pursuant to the Collateral Documents, and other permitted liens. 
 (g) All Uniform Commercial Code financing statements or other similar financing statements and Uniform Commercial Code Form UCC-3 termination statements required pursuant to clause (g)(i) and
(ii) above (collectively, the “Filing Statements”) shall have been delivered to CT Corporation System or another similar filing service company acceptable to the Buyer (the “Filing Agent”). The Filing
Agent shall have acknowledged in a writing reasonably satisfactory to the Buyer and its counsel (i) the Filing Agent’s receipt of all Filing Statements, (ii) that the Filing Statements have either been submitted for filing in the
appropriate filing offices or will be submitted for filing in the appropriate offices within ten days following the Closing Date and (iii) that the Filing Agent will notify the Collateral Agent and the Buyer and its counsel of the results of
such submissions within 30 days following the Closing Date. 
 (h) The representations and warranties of the
Company and each Guarantor shall be true and correct in all material respects (except for those representations and warranties that are qualified by materiality or Material Adverse Effect, which shall be true and correct in all respects) as of the
date when made and as of the Closing Date as though made at that time (except for representations and warranties that speak as of a specific date, which shall be true and correct as of such specified date) and the Company and each Guarantor shall
have performed, satisfied and complied in all material respects with the covenants, agreements and conditions required by the Transaction Documents to be performed, satisfied or complied with by the Company and each Guarantor at or prior to the
Closing Date. The Buyer shall have received a certificate, executed by the Chief Executive Officer of the Company, dated as of the Closing Date, to the foregoing effect and as to such other matters as may be reasonably requested by the Buyer.

 (i) The Buyer shall have received a certificate, dated the Closing Date, executed by an executive officer of
the Company, certifying that the Company has received duly executed Other Purchase Agreements from the Other Buyers that, together with this Agreement, relate to the issuance and sale of $225,000,000 aggregate principal amount of the Notes.

  
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 7. TERMINATION. In the event that the Closing shall not have occurred with respect to
any Buyer on or before fifteen (15) Business Days from the date hereof due to the Company’s or the Buyer’s failure to satisfy the conditions set forth in Sections 5 and 6 above (and the nonbreaching party’s failure to waive such
unsatisfied condition(s)), the nonbreaching party shall have the option to terminate this Agreement with respect to such breaching party at the close of business on such date without liability of any party to any other party. 

8. MISCELLANEOUS. 
 (a) Governing Law; Jurisdiction; Jury Trial. All questions concerning the construction, validity, enforcement and interpretation of this Agreement shall be governed by the internal laws of the
State of New York, without giving effect to any choice of law or conflict of law provision or rule (whether of the State of New York or any other jurisdictions) that would cause the application of the laws of any jurisdictions other than the State
of New York. Each party hereby irrevocably submits to the exclusive jurisdiction of the state and federal courts sitting in The City of New York, Borough of Manhattan for the adjudication of any dispute hereunder or in connection herewith or with
any transaction contemplated hereby or discussed herein, and hereby irrevocably waives, and agrees not to assert in any suit, action or proceeding, any claim that it is not personally subject to the jurisdiction of any such court, that such suit,
action or proceeding is brought in an inconvenient forum or that the venue of such suit, action or proceeding is improper. Each party hereby irrevocably waives personal service of process and consents to process being served in any such suit, action
or proceeding by mailing a copy thereof to such party at the address for such notices to it under this Agreement and agrees that such service shall constitute good and sufficient service of process and notice thereof. Nothing contained herein shall
be deemed to limit in any way any right to serve process in any manner permitted by law. EACH PARTY HEREBY IRREVOCABLY WAIVES ANY RIGHT IT MAY HAVE, AND AGREES NOT TO REQUEST, A JURY TRIAL FOR THE ADJUDICATION OF ANY DISPUTE HEREUNDER OR IN
CONNECTION WITH OR ARISING OUT OF THIS AGREEMENT OR ANY TRANSACTION CONTEMPLATED HEREBY.  
 (b)
Counterparts. This Agreement may be executed in two or more identical counterparts, all of which shall be considered one and the same agreement and shall become effective when counterparts have been signed by each party and delivered to the
other parties; provided that a facsimile signature shall be considered due execution and shall be binding upon the signatory thereto with the same force and effect as if the signature were an original, not a facsimile signature. 

(c) Headings. The headings of this Agreement are for convenience of reference and shall not form part of, or affect
the interpretation of, this Agreement. 
 (d) Severability. If any provision of this Agreement shall be
invalid or unenforceable in any jurisdiction, such invalidity or unenforceability shall not affect the validity or enforceability of the remainder of this Agreement in that jurisdiction or the validity or enforceability of any provision of this
Agreement in any other jurisdiction. 
 (e) Entire Agreement; Amendments. This Agreement and the other
Transaction Documents supersede all other prior oral or written agreements between the Buyer, 

  
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the Company, the Guarantors, their affiliates and Persons acting on their behalf with respect to the matters discussed herein, and this Agreement, the other Transaction Documents and the
instruments referenced herein and therein contain the entire understanding of the parties with respect to the matters covered herein and therein and, except as specifically set forth herein or therein, neither the Company, the Guarantors, nor any
Buyer makes any representation, warranty, covenant or undertaking with respect to such matters. No provision of this Agreement may be amended other than by an instrument in writing signed by the Company, the Guarantors and the Buyer. No provision
hereof may be waived other than by an instrument in writing signed by the party against whom enforcement is sought. No consideration shall be offered or paid to any Person to amend or consent to a waiver or modification of any provision of any of
the Transaction Documents unless the same consideration also is offered to all of the parties to the Transaction Documents or holders of the Notes, as the case may be. The Company and the Guarantors have not, directly or indirectly, made any
agreements with the Buyer relating to the terms or conditions of the transactions contemplated by the Transaction Documents except as set forth in the Transaction Documents. Without limiting the foregoing, the Company and each Guarantor confirms
that, except as set forth in this Agreement, no Buyer has made any commitment or promise or has any other obligation to provide any financing to the Company and the Guarantors or otherwise. 

(f) Notices. Any notices, consents, waivers or other communications required or permitted to be given under the
terms of this Agreement must be in writing and will be deemed to have been delivered: (i) upon receipt, when delivered personally; (ii) upon receipt, when sent by facsimile (provided confirmation of transmission is mechanically or
electronically generated and kept on file by the sending party); or (iii) one Business Day after deposit with an overnight courier service, in each case properly addressed to the party to receive the same. The addresses and facsimile numbers
for such communications shall be: 
 if to the Company: 

K-V Pharmaceutical Company 
 One Corporate Woods Drive 
 Bridgeton, MO 63044 

Attention: President and CEO 
 Phone: 314-645-6600 
 Fax: 314-646-3751 

with a copy (for informational purposes only) to: 

Fried, Frank, Harris, Shriver & Jacobson LLP 

1 New York Plaza 
 New York, NY 10004 

  
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 Attention: Stuart Gelfond 

Phone: (212) 859-8272 
 Fax: (212) 859-4000 
 and: 

Thompson Coburn LLP 
 One U.S. Bank Plaza 
 St. Louis, MO 63130 

Attention: Thomas A. Litz 
 Phone: 314-552-6000 
 Fax: 314-552-7000 

if to a Buyer, to its address and facsimile number set forth below the Buyer’s signature on the signature pages hereto, with copies
to the Buyer’s representatives set forth below the Buyer’s signature on the signature pages hereto; 
 or to such other address and/or
facsimile number and/or to the attention of such other Person as the recipient party has specified by written notice given to each other party five (5) days prior to the effectiveness of such change. Written confirmation of receipt
(A) given by the recipient of such notice, consent, waiver or other communication, (B) mechanically or electronically generated by the sender’s facsimile machine containing the time, date, recipient facsimile number and an image of
the first page of such transmission or (C) provided by an overnight courier service shall be rebuttable evidence of personal service, receipt by facsimile or receipt from an overnight courier service in accordance with clause (i), (ii) or
(iii) above, respectively. 
 (g) Successors and Assigns. This Agreement shall be binding upon and
inure to the benefit of the parties and their respective successors and assigns; provided that no party shall assign any of its rights or obligations hereunder without the prior written consent of the other parties hereto. 

(h) No Third Party Beneficiaries. This Agreement is intended for the benefit of the parties hereto and their
respective permitted successors and assigns, and is not for the benefit of, nor may any provision hereof be enforced by, any other Person, except that Jefferies, in its capacity as Placement Agent and Closing Agent, together with its
representatives, affiliates and agents, may rely upon the representations, warranties and releases contained in Sections 2, 3 and 6(d) hereof, and except that Sections 2(f)(ii) and 8(l) shall inure to the benefit of Jefferies, in its capacity as
Placement Agent and Closing Agent, together with its representatives, affiliates and agents, which shall be third party beneficiaries with respect thereto. 
 (i) Survival. Unless this Agreement is terminated under Section 7, the representations and warranties of the Company and the Buyer contained in Sections 2 and 3, and the agreements and
covenants set forth in Sections 4 and 8 shall survive the Closing. The Buyer shall be responsible only for its own representations, warranties, agreements and covenants hereunder. 

  
 -27-

 (j) Further Assurances. Each party shall do and perform, or cause to
be done and performed, all such further acts and things, and shall execute and deliver all such other agreements, certificates, instruments and documents, as any other party may reasonably request in order to carry out the intent and accomplish the
purposes of this Agreement and the consummation of the transactions contemplated hereby. 
 (k)
Indemnification. In consideration of the Buyer’s execution and delivery of the Transaction Documents and acquiring the Notes hereunder and in addition to all of the Company’s and each Guarantor’s other obligations under the
Transaction Documents, the Company and each Guarantor shall defend, protect, indemnify and hold harmless the Buyer and each other holder of the Notes and all of their stockholders, partners, members, officers, directors, employees and direct or
indirect investors and any of the foregoing Persons’ agents or other representatives (including, without limitation, those retained in connection with the transactions contemplated by this Agreement) (collectively, the
“Indemnitees”) from and against any and all actions, causes of action, suits, claims, losses, costs, penalties, fees, liabilities and damages, and expenses in connection therewith (irrespective of whether any such Indemnitee is a
party to the action for which indemnification hereunder is sought), and including reasonable attorneys’ fees and disbursements (the “Indemnified Liabilities”), incurred by any Indemnitee as a result of, or arising out of, or
relating to (a) any misrepresentation or breach of any representation or warranty made by the Company or any Guarantor in the Transaction Documents or any certificate delivered by the Company or any Guarantor hereunder, (b) any breach of
any covenant, agreement or obligation of the Company or any Guarantor contained in the Transaction Documents or any certificate delivered by the Company or any Guarantor hereunder or (c) any cause of action, suit or claim brought or made
against such Indemnitee by a third party (including for these purposes a derivative action brought on behalf of the Company or any Guarantor) and arising out of or resulting from (i) the execution, delivery, performance or enforcement of the
Transaction Documents or any certificate delivered by the Company or any Guarantor hereunder, (ii) any transaction financed or to be financed in whole or in part, directly or indirectly, with the proceeds of the issuance of the Notes, or
(iii) the status of the Buyer or holder of the Notes as an investor in the Company and the Guarantors. Neither the Company nor any Guarantor will be liable to any Buyer under this Agreement to the extent that a loss, claim, damage or liability
is attributable to any Buyer’s breach of any of the representations, warranties, covenants or agreements made by the Buyer in this Agreement or in the other Transaction Documents. To the extent that the foregoing undertaking by the Company or
any Guarantor may be unenforceable for any reason, the Company and each Guarantor shall make the maximum contribution to the payment and satisfaction of each of the Indemnified Liabilities which is permissible under applicable law. 

(l) Indemnity of Closing Agent and Placement Agent. Each party hereto agrees for the express benefit of each of the
Closing Agent and the Placement Agent, their respective affiliates and their respective representatives that: 

(i) Neither Jefferies (as Closing Agent or Placement Agent) nor any of its affiliates or any of its representatives
(1) has any duties or obligations other than those specifically set forth herein or in the engagement letter, dated as of August 23, 2010 (as amended through the date hereof), among the Company and Jefferies (the “Engagement
Letter”), (2) shall be liable for any improper payment made in accordance with the information provided by 

  
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the Company, (3) makes any representation or warranty, or has any responsibilities as to the validity, accuracy, value or genuineness of any information, certificates or documentation
delivered by or on behalf of the Company pursuant to this Agreement or the Transaction Documents or in connection with any of the transactions contemplated hereby or thereby, including any information in the Confidential Information Memorandum, or
(4) shall be liable (x) for any action taken, suffered or omitted by any of them in good faith and reasonably believed to be authorized or within the discretion or rights or powers conferred upon it by this Agreement or any Transaction
Document or (y) for anything which any of them may do or refrain from doing in connection with this Agreement or any Transaction Document, except for such party’s own willful misconduct or bad faith. 

(ii) Each of Jefferies (as Closing Agent and Placement Agent) and any of its affiliates or any of its representatives
shall be entitled to (1) rely on, and shall be protected in acting upon, any certificate, instrument, opinion, notice, letter or any other document or security delivered to any of them by or on behalf of the Company, (2) be indemnified by
the Company for acting as Closing Agent and Placement Agent, respectively, hereunder pursuant to the indemnification provisions set forth in the Engagement Letter, which hereby are incorporated by reference herein and (3) be indemnified and
held harmless by the Buyer for acting as Closing Agent and Placement Agent, respectively; provided that, the aggregate liability of the Buyer to the Closing Agent and the Placement Agent pursuant to this clause (ii)(3) shall be limited to the amount
wired to the Closing Agent by the Buyer pursuant to Section 1(c)(i). 
 (m) No Strict Construction.
The language used in this Agreement will be deemed to be the language chosen by the parties to express their mutual intent, and no rules of strict construction will be applied against any party. 

(n) Remedies. The Buyer and each holder of the Notes shall have all rights and remedies set forth in the
Transaction Documents and all rights and remedies which such holders have been granted at any time under any other agreement or contract and all of the rights which such holders have under any law. Any Person having any rights under any provision of
this Agreement shall be entitled to enforce such rights specifically (without posting a bond or other security), to recover damages by reason of any breach of any provision of this Agreement and to exercise all other rights granted by law.
Furthermore, the Company and each Guarantor recognizes that in the event that it fails to perform, observe, or discharge any or all of its obligations under the Transaction Documents, any remedy at law may prove to be inadequate relief to the Buyer.
The Company and each Guarantor therefore agrees that the Buyer shall be entitled to seek temporary and permanent injunctive relief in any such case without the necessity of proving actual damages and without posting a bond or other security.

 (o) Rescission and Withdrawal Right. Notwithstanding anything to the contrary contained in (and without
limiting any similar provisions of) the Transaction Documents, whenever any Buyer exercises a right, election, demand or option under a Transaction Document and the Company or any Guarantor does not timely perform its related obligations within the
periods therein provided, then at any time prior to performance by the Company or any Guarantor of such obligation the Buyer may rescind or withdraw, in its sole discretion from time to time upon written notice to the Company and the Guarantors, any

  
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relevant notice, demand or election in whole or in part without prejudice to its future actions and rights. 

(p) Payment Set Aside. To the extent that the Company or any Guarantor makes a payment or payments to the Buyer
hereunder or pursuant to any of the other Transaction Documents or the Buyer enforce or exercise their rights hereunder or thereunder, and such payment or payments or the proceeds of such enforcement or exercise or any part thereof are subsequently
invalidated, declared to be fraudulent or preferential, set aside, recovered from, disgorged by or are required to be refunded, repaid or otherwise restored to the Company, any Guarantor, a trustee, receiver or any other Person under any law
(including, without limitation, any bankruptcy law, foreign, state or federal law, common law or equitable cause of action), then to the extent of any such restoration the obligation or part thereof originally intended to be satisfied shall be
revived and continued in full force and effect as if such payment had not been made or such enforcement or setoff had not occurred. 
 (q) Knowledge. For purposes of this Agreement, whenever there is a reference to the Company’s or any Guarantor’s knowledge, it shall mean the actual knowledge of the executive officers
(as defined in Rule 405 under the 1933 Act) of the Company or any Guarantor, as applicable, after due inquiry. 
 [Signature
Page Follows] 

  
 -30-

 IN WITNESS WHEREOF, the Buyer and the Company have caused its respective signature
page to this Purchase Agreement to be duly executed as of the date first written above. 
  

					
	COMPANY:
	
	K-V PHARMACEUTICAL COMPANY
		
	By:	 	 
		 	 Name:
	 	
		 	 Title:
	 	
	
	GUARANTORS:
	
	 NESHER PHARMACEUTICALS INC.
 ETHER-RX CORPORATION
 NESHER SOLUTIONS USA, INC.

NESHER DISCOVERY SOLUTIONS, INC.
 DRUGTECH
CORPORATION
 ZERATECH TECHNOLOGIES USA, INC.
 FP1096, INC.

		
	By:	 	 
		 	 Name:
	 	
		 	 Title:
	 	

 IN WITNESS WHEREOF, the Buyer and the Company have caused their respective signature
page to this Purchase Agreement to be duly executed as of the date first written above. 
  

					
	BUYER:
	
	[BUYER]
		
	By:	 	 
		 	Name:	 	
		 	Title:	 	
	
	PRINCIPAL AMOUNT OF NOTES:
	
	
$

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