Document:

Prepared by MerrillDirect

	 	EXHIBIT
  10.33.1
	 	EXECUTION
  COPY
	*	Confidential
  Treatment Requested

 

SECOND AMENDMENT

             This
amendment (the “Second Amendment”) effective as of May 1st, 2001
(the “Second Amendment Effective Date”), amends the Interactive Services
Agreement, dated September 3, 1999, by and between America Online, Inc. (“AOL”)
and Medscape, Inc.  (“Medscape” or
“ICP”), as amended.

WITNESSETH:

             WHEREAS,
AOL and Medscape executed the Interactive Services Agreement, dated September
3, 1999 (“Agreement”); and

             WHEREAS,
AOL and Medscape executed an amendment to the Agreement on September 27, 2000
(the “First Amendment”); and

             WHEREAS,
AOL and Medscape mutually desire to change certain terms and conditions of the
Agreement, as amended.

             NOW,
THEREFORE, in consideration of the mutual covenants contained herein, the
parties agree as follows:

	1.	Exhibit
  A-1, Carriage Plan, attached to the Agreement is deleted in its entirety and
  replaced with the attached Revised Exhibit A-1 dated May 1, 2001 (“Revised
  Exhibit A-1”).  To the extent that
  any obligations of AOL set forth in Exhibit A-2 are inconsistent with AOL’s
  obligations pursuant to Revised Exhibit A-1, Exhibit A-2 shall be
  deemed to be amended to delete such obligations.  Medscape shall continue to provide Content as set forth in Exhibit A-2
  and as necessary for AOL to provide the Promotions set forth in Revised
  Exhibit A-1.
	 	 
	2.	Beginning
  on May 1, 2001, AOL shall deliver [ * ] Impressions from ICP’s presence
  on the AOL Network (the “Amended Impressions Target”).  AOL shall have no further obligation to
  deliver Impressions pursuant to the first sentence of Section 1.5 of the
  Agreement.
	 	 
	3.	In
  Section 2.5, any and all references to “Consumer Versions” shall be deleted
  and shall be replaced with “ICP Internet Site.”
	 	 
	4.	Section
  2.5.1.B is deleted in its entirety.
	 	 
	5.	In
  Section 2.5.1.D, “within a subcategory of paragraphs B or C above” is deleted
  and inserted in its place shall be “on the ICP Internet Site.”  Also in Section 2.5.1.D, the last sentence
  is deleted in its entirety.

 

 

	6.	Subject to Section 6(d) below,
  Section 3.4 of the Agreement is amended as follows:
	 	 
	 	(a)
  “$33,000,000” shall be deleted in the first sentence and replaced with
  “$19,333,333.32.”
	 	 
	 	(b)
  The following language (added pursuant to the First Amendment) shall be
  deleted:  “$3,083,340 is due
  January 2, 2001, $2,750,001 is due on May 1, 2001, $2,750,001 is
  due on August 1, 2001, $2,750,001 is due on November 1, 2001,
  $2,750,001 is due on February 1, 2002 and $916,656 is due on May 1,
  2002” and replaced with the following:
	 	 	“$1,000,000
  is due on June 20, 2001 for the twelve month period May 1, 2001 to April
  30, 2002, and then equal monthly payments of $83,333.33 are due on each of
  the following dates:  May 1, 2002,
  June 1, 2002, July 1, 2002 and August 1, 2002.”
	 	 	 
	 	(c)
  AOL acknowledges that Medscape has already made payments of [ * ] towards the
  Guaranteed Payment amount.
	 	 
	.	(d)
  [ * ]
	 	 
	7.	In
  Section 5.3, the following sentence shall be inserted at the end of the
  paragraph:
	 	 	“AOL
  agrees that it will not place, or require the placement of, any links to a
  Named Entity’s content on the ICP Internet Site.”
	 	 	 
	8.	Section
  7.1 is deleted in its entirety and inserted in its place shall be the
  following:
	 	 	“Unless
  earlier terminated as set forth herein, the initial term of this Agreement
  shall commence on the Effective Date and expire three (3) years from the
  Effective Date.  Upon the expiration
  or earlier termination of this Agreement, and for one (1) year following such
  expiration or termination, AOL may, at its discretion, continue to promote
  one or more ‘pointers’ or links from the AOL Network to the ICP Interactive
  Site located at URL http://www.cbshealthwatch.com, or any successor site
  designated by ICP, and continue to use ICP’s trade names, trademarks and
  service marks in connection therewith.”
	 	 	 
	9.	Section
  7.6 is deleted in its entirety and inserted in its place shall be the
  following:
	 	 	“In
  the event of a Change of Control of ICP to a Named Entity during the Initial
  Term, AOL shall have the right to terminate the Agreement by providing
  fifteen (15) days written notice.”
	 	 	 
	10.	Section
  7.7 is deleted in its entirety and inserted in its place shall be the
  following:
	 	 	“Either
  party may terminate this Agreement without cause upon sixty (60) days notice
  to the other party.  In the event that
  either party gives such notice of termination between May 1, 2001 and
  February 28, 2002, AOL will [ * ] between the effective date of such
  termination and April 30, 2002.”

 

 

	11.	The
  following Section 10 is inserted:
	 	“ICP
  agrees to provide the following promotion to AOL:
	 	 	10.1	[
  * ]. Such placements shall comply with the keyword guidelines attached to the
  Agreement as Exhibit G, as well as any requirements imposed generally by
  CBS on its advertising partners. 
  Further, ICP agrees to provide a monthly report detailing all keywords
  appearing on CBS television advertisements.
	 	 	10.2	[
  * ]
	 	 	 	 
	12.	The following Section 11 is inserted:
	 	 	“The parties agree to the following:
	 	 	11.1	AOL
  Contact Person:  AOL agrees to assign
  an individual to answer all reasonable inquiries from ICP clients regarding
  advertising on the ICP Internet Site, including any concerns the client may
  have regarding the positioning of ICP content with respect to other AOL
  health content partners.
	 	 	11.2	Press
  Release:  Pursuant to Section 7.9
  of the Agreement, prior to distribution of any Press Release, each Party
  shall obtain the prior written approval of the other Party.
	 	 	11.3	Hi-Ethics:  Both Parties acknowledge that as of the
  Second Amendment Effective Date they are members of the Health Internet
  Ethics group (“Hi-Ethics”).  AOL shall
  not require ICP to take any action that would violate the Hi-Ethics
  Principles as currently written.
	 	 	11.4	AOL
  agrees that ICP may use promotional tools such as “daughter windows” and
  “pop-ups” on the ICP Internet Sites consistent with general AOL policies for
  the applicable AOL Property. ”
	 	 	 	 
	13.	The following definition shall be added to
  Exhibit B of the Agreement:
	 	 
	 	“Netbusiness.  The
  targeted, special purpose, business-to-business area, owned and controlled by
  AOL and marketed under the “Netscape NetbusinessSM” brand, specifically excluding (a) Netscape
  Netcenter, the AOL Service and the CompuServe Service, (b) AOL.com,
  Netscape.com and CompuServe.com, (c) any international versions of such
  site, (d) “ICQ,” “NetscapeSearch,” “Netscape Instant Messenger,”
  “Netscape NetMail,” “Netscape Hometown,” “My News,” “Digital City, “ or any
  similar independent product or service offered by or through such site or any
  other AOL Interactive Site, (e) any programming or Content area offered
  by or through such site over which AOL does not exercise complete operational
  control (including, without limitation, Content areas controlled by other
  parties and member-created Content areas), (f) any programming or
  Content area offered by or through such site which was operated, maintained
  or controlled by the former America Online Studios division (e.g., Electra),
  (g) any yellow pages, white pages, classifieds or other search,
  directory or review services or Content offered by or through such site or
  any other AOL Interactive Site, (h) any property, feature, product or
  service which AOL or its Affiliates may acquire subsequent to the Second
  Amendment Effective Date and (j) any other version of an AOL Interactive
  Site which is materially different from AOL’s primary Internet-based
  targeted, special purpose, business-to-business area marketed under the
  “Netscape NetbusinessSM”
  brand, by virtue of its branding, distribution, functionality, Content or
  services, including, without limitation, any co-branded versions or any
  version distributed through any broadband distribution platform or through
  any platform or device other than a desktop personal computer.”
	 	 	 
	14.	Release.  Provided that, on or before [ * ], ICP
  meets its obligation to pay AOL [ * ] pursuant to Section 6(b) of this
  Second Amendment, AOL and ICP each releases and forever discharges the other
  and all of its stockholders, employees, agents, successors, assigns, legal
  representatives, affiliates, directors and officers from and against any and
  all actions, claims, suits, demands or other obligations or liabilities of
  any nature whatsoever, whether known or unknown, which the releasing Party or
  its stockholders, employees, agents, successors, assigns, legal
  representatives, affiliates, directors or officers have had, now have or may
  in the future have arising out of or in connection with the performance or
  failure to perform under the Agreement prior to the Second Amendment
  Effective Date, including without limitation ICP’s failure to meet its
  payment obligations under Section 3.4 of the Agreement.  This Release shall not operate to relieve
  either Party of its obligations under the Agreement or this Second Amendment
  after the Second Amendment Effective Date.

 

 

	15.	The
  provisions of the Agreement not specifically amended herein shall remain in
  full force and effect as they appear in the Agreement.
	 	 
	16.	Each
  Party represents and warrants that the individual signing this Second
  Amendment on its behalf is authorized to do so, and that such individual’s
  signature binds it to this Second Amendment.

 

In
WITNESS WHEREOF, the Parties have executed this Second Amendment as of the date
first above written.

	AMERICA ONLINE, INC.
	 
	 
	

	 
	Print Name:
	 	

	Title:
	 	

	Date:
	 	

	 
	 
	MEDSCAPE, INC.
	 
	 
	

	Print Name:
	 	

	Title:
	 	

	Date:
	 	

			

 

 

Revised Exhibit A-1

May 1, 2001

Integration Detail

	Brand   Channel/Area	Screen	 	Placement /

  Promotion Type	 	Frequency of Placement /
  Promotion	 	Year 1	 	Year 2	 
	 	 	 	 	 	 	 	 	 	 	 
	AOL Service	 	 	 	 	 	 	[ * ]	 	[ * ]	 
	 	Health	Today in Health	 	1 text link	 	Permanent	 	 	 	 	 
	 	Health	Men's Health	 	1 text link	 	Permanent	 	 	 	 	 
	 	Health	Seniors' Health	 	1 text link	 	Permanent	 	 	 	 	 
	 	Health	Children's Health	 	1 text link	 	Permanent	 	 	 	 	 
	 	Health	Health & Beauty	 	1 text link	 	Permanent	 	 	 	 	 
	 	Health	Sexual Health &
  Relationships	 	1 text link	 	Permanent	 	 	 	 	 
	 	Health	Alternative Medicine	 	1 text link	 	Permanent	 	 	 	 	 
	 	Parenting/

  Pregnancy	Pregnancy:  Health	 	2 text links	 	Permanent	 	 	 	 	 
	 	Health	Specials; 1 text link in
  each of 8 specials; each special runs for 6 months	 	 	 	 
	 	Health	Fitness & Sports
  Medicine	 	1 text link	 	Permanent	 	 	 	 	 
	 	Health	Conditions &
  Treatment (main/overall index screen)	 	AT button	 	Permanent	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 
	AOL.com	 	 	 	 	 	 	[ * ]	 	[ * ]	 
	 	Health	Diet & Nutrition	 	Feature Module/Logo	 	Daily	 	 	 	 	 
	 	Health	Health News	 	Part of Feed	 	Daily	 	 	 	 	 
	 	Health	Index, Fitness &
  Sports Medicine, Alternative Medicine, Diet & Nutrition, Doctors,
  Insurance, HMOs and More, Women's Health, Men's Health, Children's Health,
  Seniors Health	 	Essentials Link: Medical
  Dictionary/Logo	 	Permanent	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 
	 	Health	Index, Fitness &
  Sports Medicine, Alternative Medicine, Diet & Nutrition, Doctors,
  Insurance, HMOs and More, Women's Health, Men's Health, Children's Health,
  Seniors Health	 	Essentials Link: Medical
  Tests	 	Permanent	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 
	 	Health	Index, Fitness &
  Sports Medicine, Alternative Medicine, Diet & Nutrition, Doctors,
  Insurance, HMOs and More, Women's Health, Men's Health, Children's Health,
  Seniors Health	 	Essentials Link:
  Self-care Guide	 	Permanent	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 
	 	Health	Women's, Men's,
  Children's, Seniors	 	Static breakout of
  advanced information	 	Permanent	 	 	 	 	 

 

 

	Netscape	 	 	 	 	 	 	[ * ]	 	[ * ]	 
	 	Health Index Page	Disease Centers (text +
  widget)	 	Scrolling list box of
  conditions; branded	 	Permanent	 	 	 	 	 
	 	Health Index Page	Health Factoid (text w/
  link)	 	Interesting Health fact
  with link to co-branded site for more information.	 	Permanent	 	 	 	 	 
	 	Health Index Page	Feature: What Your
  Doctor is Reading ("In Clinical Terms"; text + links)	 	Articles link to
  co-branded pages	 	Permanent	 	 	 	 	 
	 	Health Index Page	Disease Centers (link)	 	Disease Centers link
  lives w/in Nscp Navigation – Departments.	 	 	 	 	 	 	 
	 	Health Department pages
  (where appropriate)	Ask a Doctor (link
  Placement depends on functionality)	 	Link will live w/in Nscp
  Navigation – under a “Health Tools / Resources” section. Links to co-branded
  pages.	 	Permanent	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 
	CompuServe	 	 	 	 	 	 	[ * ]	 	[ * ]	 
	 	Health Channel Top	Read what your doctor is
  reading	 	CBSHW branded	 	Permanent	 	 	 	 	 
	 	Health Channel Top	News story; teaser and
  link to second page.	 	CBSHW branded story	 	1x per week	 	 	 	 	 
	 	Ailments & Conditions	Top Story: teaser and
  link to second page	 	CBSHW branded story	 	1x per week	 	 	 	 	 
	 	Ailments &
  Conditions page and each Specialty Center	Links to Databases	 	Links to Medical Test
  Handbook, First Aid and Self Care Guide	 	Permanent	 	 	 	 	 
	 	Ailments & Conditions
  page and each Specialty Center	Read what your doctor is
  reading	 	Branded right nav bar
  text link.	 	Permanent	 	 	 	 	 
	 	Ailments &
  Conditions sub-departments	Text links for more
  information	 	Branded; In right or
  left nav bar.	 	Permanent	 	 	 	 	 
	 	AIDS/HIV Specialty
  Center	News Story; teaser and
  link to second page	 	CBSHW branded story.	 	Bi-weekly	 	 	 	 	 
	 	Heart Disease Specialty
  Center.	News Story; teaser and
  link to second page	 	CBSHW branded story.	 	Bi-weekly	 	 	 	 	 
	 	Pain Management
  Specialty Center.	News Story; teaser and
  link to second page	 	CBSHW branded story.	 	Bi-weekly	 	 	 	 	 
	 	Multiple Sclerosis
  Specialty Center.	News Story; teaser and
  link to second page	 	CBSHW branded story.	 	Bi-weekly	 	 	 	 	 
	 	Cancer Specialty Center.	News Story; teaser and
  link to second page	 	CBSHW branded story.	 	Bi-weekly	 	 	 	 	 
	 	Disabilities Specialty
  Center.	News Story; teaser and
  link to second page	 	CBSHW branded story.	 	Bi-weekly	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 
	Digital City	 	 	 	 	 	 	[ * ]	 	[ * ]	 
	 	Condition pages	“Advanced Information”	 	Text Link with branding	 	Permanent	 	 	 	 	 
	 	Facilities &
  Services/Pharmacies	Medication Information	 	Branded badge and search
  widget	 	Permanent	 	 	 	 	 

[ * ]

 

[ * ]Prepared by MerrillDirect

Exhibit 10.34.1

FIRST
AMENDMENT TO

LICENSE AND PRODUCT DEVELOPMENT AGREEMENT

             THIS
FIRST AMENDMENT TO LICENSE AND PRODUCT DEVELOPMENT AGREEMENT (the “First
Amendment”) effective as of the 25th day of July, 2001, amends the License and
Product Development Agreement, dated July 7, 1999 by and between NATIONAL DATA
CORPORATION, INC., a Delaware corporation (“NDC”) and MEDSCAPE, INC.
(“MEDSCAPE”).

W
I T N E S S E T H:

             WHEREAS,
NDC and MEDSCAPE executed the License and Product Development Agreement dated
July 7, 1999 (the “Agreement”); and

             WHEREAS,
the parties desire to amend certain of the terms of the Agreement, as more
particularly set forth in herein.

             NOW,
THEREFORE, in consideration of the foregoing recitals, the mutual covenants and
conditions contained herein and other good and valuable consideration, the
receipt, adequacy and sufficiency of which are hereby acknowledged, the parties
hereto hereby agree as follows:

	1.	In
  Article V, Web-Enabling of Other NDC Products, all references to “NDC
  Connect” and “NDC Assist” are deleted.
	 	 
	2.	Section
  9.1 of Article IX, Preferred Partner Status, is deleted in its entirety.
	 	 
	3.	In
  Article X, Marketing, Promotion, Support, (i) all references to “NDC Connect”
  and “NDC Assist” are deleted, and (ii) the phrase “to other distributors of
  physician practice management software which market NDC’s EDI Services” shall
  be deleted from Section 10.1(b) and replaced with “as provided herein.”
	 	 
	4.	Sections
  11.5 and 11.6 of Article XI are deleted in their entirety.
	 	 
	5.	Sections
  14.3 and 14.4 of Article XIV, Confidentiality, Non-Compete, are deleted in
  their entirety.
	 	 
	6.	Section
  8 (including Annex 2) of Exhibit 11.1 of the Agreement is deleted in its
  entirety.
	 	 
	7.	The
  provisions of the Agreement not specifically modified by this First Amendment
  shall remain unchanged and shall be in full force and effect.

             IN
WITNESS WHEREOF, the parties hereto have caused this First Amendment to be
executed by their duly authorized officers.

 

	NATIONAL
  DATA CORPORATION, INC.
	 
	By:	 
	 	

	Name:	 
	 	

	Title:	 
	 	

	 	 
	 	 
	MEDSCAPE, INC.
	 
	By:	 
	 	

	Name:	 
	 	

	Title:

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