Document:

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                                                                    EXHIBIT 10.1

CONFIDENTIAL TREATMENT REQUESTED: CERTAIN PORTIONS OF THIS DOCUMENT HAVE BEEN
OMITTED PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT AND, WHERE APPLICABLE,
HAS BEEN MARKED WITH AN ASTERISK TO DENOTE WHERE OMISSIONS HAVE BEEN MADE. THE
CONFIDENTIAL MATERIAL HAS BEEN FILED SEPARATELY WITH THE COMMISSION.

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                          INTEGRATED SOLUTION AGREEMENT

                                     between

                         GLOBAL HEALTHCARE EXCHANGE, LLC

                                       and

                                  NEOFORMA, INC

                           Dated as of August 28, 2001

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<PAGE>

                                TABLE OF CONTENTS

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ARTICLE 1  BACKGROUND........................................................................1

ARTICLE 2  DEFINITIONS; RULES OF CONSTRUCTION................................................2

        2.1.   Definitions...................................................................2
        2.2.   Rules of Construction.........................................................7
        2.3.   Legal Review..................................................................8

ARTICLE 3  DEVELOPMENT AND ALLIANCE STRUCTURE................................................8

        3.1.   Initial Development Responsibilities..........................................8
        3.2.   Costs of Development and Integration.........................................11
        3.3.   API Cross Licenses...........................................................11
        3.4.   Future Development...........................................................12
        3.5.   Changes......................................................................12
        3.6.   Alliance Structure...........................................................12

ARTICLE 4  CONTENT LICENSE..................................................................13

        4.1.   License......................................................................13
        4.2.   Limitations on Display of Catalog............................................14
        4.3.   Catalog Updates..............................................................15
        4.4.   Withdrawal of Catalog........................................................15
        4.5.   Identification of the Exchange...............................................15

ARTICLE 5  SECURITY; PRIVACY................................................................15

        5.1.   Security.....................................................................15
        5.2.   Privacy......................................................................16

ARTICLE 6  MARKETING; REFERRALS.............................................................16

        6.1.   Alliance Management..........................................................16
        6.2.   Marketing; Expenses..........................................................16
        6.3.   Sales Cooperation; No Sales Agency...........................................16
        6.4.   Exclusivity..................................................................17
        6.5.   Recommending the Integrated Solution.........................................17

ARTICLE 7  IMPLEMENTATION AND SUPPORT.......................................................19

        7.1.   Implementation, Training and Fulfillment.....................................19
        7.2.   Technical Support............................................................19
        7.3.   Linkages.....................................................................20
</TABLE>

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                                Table of Contents
                                   (continued)

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ARTICLE 8  REPRESENTATIONS AND WARRANTIES...................................................20

        8.1.   Representations and Warranties of the Exchange...............................20
        8.2.   Representations and Warranties of Neoforma...................................21

ARTICLE 9  OWNERSHIP........................................................................21

        9.1.   Ownership by the Exchange....................................................21
        9.2.   Ownership by Neoforma........................................................21
        9.3.   Ownership by Third Parties...................................................22
        9.4.   Transaction Data.............................................................22
        9.5.   Aggregated Data..............................................................22
        9.6.   Publicity; Use of Marks......................................................22

ARTICLE 10  CONFIDENTIALITY.................................................................23

        10.1.  Confidential Information.....................................................23
        10.2.  Obligations..................................................................23
        10.3.  Legal Process................................................................24
        10.4.  Injunctive Relief............................................................24

ARTICLE 11  INDEMNIFICATION.................................................................24

        11.1.  Neoforma.....................................................................24
        11.2.  The Exchange.................................................................25

ARTICLE 12  LIMITATION OF LIABILITY.........................................................25

        12.1.  Limitation of Neoforma's Liability...........................................25
        12.2.  Limitation of the Exchange's Liability.......................................26
        12.3.  Time Limits on Bringing an Action............................................26

ARTICLE 13  DISCLAIMERS.....................................................................26

        13.1.  DISCLAIMERS OF THE EXCHANGE..................................................26
        13.2.  DISCLAIMERS OF NEOFORMA......................................................27

ARTICLE 14  TERM AND TERMINATION............................................................27

        14.1.  Term.........................................................................27
        14.2.  Events of Termination........................................................27
        14.3.  Consequences of Termination..................................................28

ARTICLE 15  GENERAL.........................................................................29

        15.1.  Expenses.....................................................................29
        15.2.  Independent Contractors......................................................29
        15.3.  Integration and Waiver.......................................................29
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                                Table of Contents
                                   (continued)

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        15.4.  Severability.................................................................30
        15.5.  Non-Solicitation.............................................................30
        15.6.  Disputes.....................................................................30
        15.7.  Governing Law; Jurisdiction..................................................30
        15.8.  Force Majeure................................................................30
        15.9.  Assignment...................................................................30
        15.10. Notices......................................................................31
        15.11. Execution....................................................................31
        15.12. Survival.....................................................................31
        15.13. Third Party Beneficiaries....................................................31
        15.14. Revisions to Agreements......................................................32
        15.15. Inconsistent User Agreement Terms............................................32
</TABLE>

                                      iii

<PAGE>

               THIS INTEGRATED SOLUTION AGREEMENT is entered into as of August
28, 2001 (the "Effective Date"), by and between GLOBAL HEALTHCARE EXCHANGE, LLC,
a Delaware limited liability company (the "Exchange"), and NEOFORMA, INC., a
Delaware corporation ("Neoforma").

                                   ARTICLE 1
                                   BACKGROUND

               The Exchange and Neoforma each operate on-line, independent
electronic trading exchanges (the "Exchange Site" and the "Neoforma
Marketplaces", respectively) intended to facilitate the real-time transfer of
funds, information, goods and services in the medical and healthcare equipment,
products, services and supplies market between suppliers ("Suppliers") of
medical information, goods and services ("Products") and their customers
("Providers"). Users of both the Exchange and the Neoforma Marketplaces include
both Suppliers and Providers, in each case that have executed an applicable user
agreement with the applicable party (each such user agreement being a "User
Agreement"). Suppliers and Providers using either the Exchange Site or the
Neoforma Marketplaces are hereinafter referred to collectively as "Users."

               The Exchange has developed a proprietary e-commerce portal (the
"Supplier Connectivity Portal") that permits Exchange Suppliers to supply
Product information for display in a catalog containing Product Data of multiple
Exchange Suppliers, organized according to the Exchange's proprietary
classification scheme (the "Classification Scheme"). The Supplier Connectivity
Portal also permits Exchange Purchasers to browse the Catalog and review the
status of any Product orders, and it facilitates the formation of contracts
between Users of the Exchange for the purchase and sale of Products.

               Neoforma Marketplaces provide customized marketplace solutions
and services that enable customers to maximize their existing technology and
supply chain relationships. Neoforma Marketplaces connect trading partners to a
common marketplace platform and enable them to review hosted catalog and pricing
information, facilitate the formation of contracts and review the status of
purchase orders and invoice information. Neoforma Marketplaces deploy a catalog
solution containing product data from a broad base of suppliers, organized
according to Neoforma's proprietary classification scheme ("Neoforma
Classification Scheme").

               The Exchange and Neoforma wish to work together to develop a
classification scheme that supports the needs of Users of the Integrated
Solution.

               The Exchange and Neoforma wish to integrate the Neoforma
Marketplaces with the Supplier Connectivity Portal by developing the Exchange
Interface and the Neoforma Interface (each as defined below), respectively, and
coordinate the marketing of the resulting integrated solution, which will
enable: (1) the Exchange Site and the Neoforma Marketplaces to exchange order
and other

                                       1
<PAGE>

information with one another, and (2) the Neoforma Marketplaces to display the
Catalog (hereinafter, the "Integrated Solution"). The Integrated Solution is
intended to create an integrated end-to-end supply chain solution that
accelerates Supplier and Provider adoption of e-procurement in health care,
minimizes supply chain costs of connectivity and information exchange, and
thereby accelerates the realization of the benefits of e-commerce to Suppliers
and Providers.

               Within the scope of this alliance, the Exchange shall provide
connectivity solutions for Suppliers, and Neoforma shall provide connectivity
solutions for Providers and additional procurement related functionality, both
of which will be designed to accelerate adoption of ecommerce procurement
solutions by Users. In addition, the parties may: (i) develop premium services,
both independently and jointly, (ii) jointly offer the Integrated Solution to
target markets outside each party's current customer base, (iii) co-market and
cross-sell each party's respective premium services to buyers and suppliers,
(iv) eliminate redundant costs of both the parties and the Users and (v) pursue
other programs that accelerate adoption of ecommerce solutions by the Users.

               The Exchange and Neoforma wish to enter into this Agreement to
specify their respective rights and obligations with respect to such
integration, marketing and related matters.

               THEREFORE, the parties, for good and valuable consideration, the
receipt and sufficiency of which are acknowledged, agree as follows:

                                   ARTICLE 2
                       DEFINITIONS; RULES OF CONSTRUCTION

        2.1. DEFINITIONS. The following terms shall have the following meanings:

        "Affiliate" means, with respect to a specific Person, any Person that,
directly or indirectly, or through one or more intermediaries, owns or Controls,
is owned or Controlled by, or is under common ownership or common Control with,
such specific Person.

        "Aggregated Data" means aggregated Transaction Data. Aggregated Data
shall not include any information that may identify the parties to the
transactions comprising the Aggregated Data.

        "Agreement" means this Integrated Solution Agreement, as it may be
amended in accordance with its terms.

        "Alliance Manager" has the meaning set forth in Section 6.1.

        "APIs" means application programming interfaces.

                                       2
<PAGE>

        *

        *

        "Business Day" means any day when banks are generally open for business
in New York.

        "Catalog" means the catalog of Product Data (compiled and owned by the
Exchange) described in ARTICLE 1, to the extent that Exchange Suppliers have
executed a Supplier Catalog Addendum with the Exchange, together with all
elements of the Classification Scheme, including categories and subcategories,
and all modifications or subsets thereof that Neoforma is entitled to create
pursuant to Section 4.2.

        "Classification Scheme" has the meaning set forth in ARTICLE 1.

        "Confidential Information" has the meaning set forth in Section 10.1.

        "Control" means, as applied to any Person, the possession, directly or
indirectly, of the power to direct or cause the direction of the management and
policies of such Person, whether through the ownership of voting securities, by
contract or otherwise.

        "Covered Providers" means, at any particular time, (i) Novation and all
members of VHA, UHC, HPPI and Medbuy, a Canadian GPO, (ii) members of other GPOs
which the parties agree in writing shall be Covered Providers, and (iii) other
independent healthcare providers which the parties have agreed in writing shall
be Covered Providers.

        "Covered Suppliers" means, at any particular time, (i) all Exchange
Suppliers, (ii) each Supplier set forth in Schedule A, but only for so long as
such party has an agreement in effect with the Exchange concerning its
participation in the Exchange (other than an agreement terminating such
participation), (iii) other Suppliers which the parties have agreed in writing
shall be Covered Suppliers, and (iv) subject to the following provisions of this
definition, each Distributor that executes or has executed an Exchange User
Agreement. Because the Distributor Service Level Requirements change over time,
a Distributor that executes an Exchange User Agreement after the Effective Date
shall constitute a Covered Supplier at all times from and after the later to
occur of (A) the date such Distributor executes its Exchange User Agreement, and
(B) the date the Exchange first satisfies in all material respects the
Distributor Service Level Requirements in effect when such satisfaction occurs.
Any Distributor that has executed an Exchange User Agreement on or before the
Effective Date shall constitute a Covered Supplier on the date the Exchange
first satisfies in all material respects the Distributor Service Level
Requirements in effect when such satisfaction occurs.

        "Distributor" means any distributor of goods manufactured by others,
whether acting as a supplier or purchaser.

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* Confidential treatment requested

                                       3
<PAGE>

        "Distributor Service Level Requirements" means the service level
requirements agreed to between the Exchange and Neoforma pursuant to Section
3.1.4, which shall in any event include (i) the service level requirements set
forth in Schedule B, and (ii) all relevant service level targets in Neoforma's
service level agreements with Distributors existing on the Effective Date, to
the extent that (A) such targets are not already specified in Schedule B, and
(B) Neoforma is meeting such service level targets in all material respects on
the Effective Date for all applicable Distributors using the Neoforma
Marketplaces.

        "Effective Date" has the meaning set forth in the first paragraph.

        "Exchange Aggregated Data" means Aggregated Data that is collected by
the Exchange.

        "Exchange Confidential Information" has the meaning set forth in Section
10.1.

        "Exchange Intellectual Property" means all Intellectual Property,
whether now existing or hereafter arising, embodied in or relating directly to
the Exchange Solutions.

        "Exchange Interface" shall mean the Initial Exchange Interface and all
modifications and additions thereto created by the Exchange.

        "Exchange Parties" has the meaning set forth in Section 11.1.

        "Exchange Purchasers" means Providers who have entered into an Exchange
User Agreement with the Exchange.

        "Exchange Site" has the meaning set forth in ARTICLE 1.

        "Exchange Solutions" means (a) the Supplier Connectivity Portal, (b) the
Exchange Site (including all web pages of the Exchange Site), (c) the Exchange
Interface, including GHXml(TM), (d) the Classification Scheme, (e) product and
connectivity specifications, schematics, documentation, source code and object
code of Exchange software, (f) data maps and definitions, and (g) any
modifications or enhancements to any of (a) through (f).

        "Exchange Suppliers" means Suppliers who have entered into an Exchange
User Agreement with the Exchange.

        "Exchange User Agreement" means the User Agreement that the Exchange
enters into with Exchange Users.

        "Exchange User" means a User who has entered into an Exchange User
Agreement with the Exchange.

        "GHXml(TM)" means the Exchange's proprietary XML schema and document
type definitions (DTDs).

                                       4
<PAGE>

        "GPO" means a group purchasing organization.

        "HPPI" means Healthcare Purchasing Partners International, LLC.

        "Initial Consulting Services" has the meaning set forth in Section
3.1.6.

        "Initial Exchange Interface" means the APIs developed by the Exchange in
accordance with Section 3.1.

        "Initial Neoforma Interface" means the APIs developed by Neoforma in
accordance with Section 3.1.

        "Integrated Solution" has the meaning set forth in ARTICLE 1.

        "Integrated Solution User" means a User that (i) is both an Exchange
User and a Neoforma User, and (ii) uses the Integrated Solution.

        "Interface" means the Exchange Interface or the Neoforma Interface, as
the case may be.

        "Intellectual Property" means any: (a) Marks, trademarks, trade names,
service marks, domain names, trade dress, logos, goodwill and brand, and other
similar designations; (b) moral rights, copyrights or copyrightable works; (c)
APIs, software programs, test tools, utilities and processes developed to
support the integration between the Neoforma Marketplaces and the Exchange Site;
(d) patents, patent rights, inventions or trade secrets; (e) design, so-called
"look and feel" and graphical user interface; and (f) other protectable property
rights.

        "Licensed Purpose" has the meaning set forth in Section 3.1.5.

        "Marks" means an entity's identity elements, including its name and logo
and such other trademarks, trade names, trade dress, service marks and service
names that such entity uses or to which it has registration rights.

        *

        *

        "Neoforma Aggregated Data" means Aggregated Data that is collected by
Neoforma.

         "Neoforma Classification Scheme" has the meaning set forth in ARTICLE 1
"Neoforma Confidential Information" has the meaning set forth in Section 10.1.

        "Neoforma Intellectual Property" means all Intellectual Property,
whether now existing or hereafter arising, embodied in or relating directly to
the Neoforma Solutions.

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* Confidential treatment requested

                                       5
<PAGE>

        "Neoforma Interface" shall mean the Initial Neoforma Interface and all
modifications and additions thereto created by Neoforma.

        "Neoforma Parties" has the meaning set forth in Section 11.2.

        "Neoforma Products" has the meaning set forth in ARTICLE 1.

        "Neoforma Purchasers" means Providers who have entered into a Neoforma
User Agreement with Neoforma.

        "Neoforma RCS" means the Neoforma software, in source and object code,
and all related know-how, specifications, schematics and documentation, as more
fully described in Schedule C.

        "Neoforma Solutions" means (a) the Neoforma Marketplaces (including all
web pages of the Neoforma Marketplaces), (b) the Neoforma Interface, (c) the
Neoforma Classification Scheme, (d) product and connectivity specifications,
schematics, documentation, source code and object code of Neoforma software, (e)
Neoforma RCS, (f) data maps and definitions, and (g) any modifications or
enhancements to any of (a) through (f).

        "Neoforma User" means a User who has entered into a Neoforma User
Agreement with Neoforma.

        "Neoforma User Agreement" means the User Agreement that Neoforma enters
into with Neoforma Users.

        "Novation" means Novation, LLC, the supply company of VHA, UHC and HPPI.

        "Person" means any general partnership, limited partnership,
corporation, limited liability company, joint venture, trust, business trust,
governmental agency, cooperative, association, individual or other entity, as
the context may require.

        "Product Data" means Product information that an Exchange Supplier
provides to the Exchange to display on the Exchange Site or to communicate to
Purchasers, including Product item numbers, features, functions, extended units
of measure, contract identification numbers, product descriptions, catalog
prices, catalogs, directions for use, text, pictures, sound, video and other
data.

        "Products" has the meaning set forth in ARTICLE 1.

        "Providers" has the meaning set forth in ARTICLE 1.

        "Purchasers" means Neoforma Purchasers and Exchange Purchasers.

        "Supplier Connectivity Portal" has the meaning set forth in ARTICLE 1.

                                       6
<PAGE>

        "Supplier Catalog Addendum" means an addendum to the Exchange User
Agreement, or another agreement between the Exchange and the applicable Exchange
Supplier, governing the Exchange's use of such Exchange Supplier's Product Data
at a location other than the Exchange Site and authorizing the Exchange to
distribute such Product Data to the Exchange's channel partners and other
parties, including Neoforma.

        "Suppliers" has the meaning set forth in ARTICLE 1.

        "Term" has the meaning set forth in Section 14.1.

        "Territory" has the meaning set forth in Section 4.1.

        "Transaction Data" means any information communicated by the Exchange or
Neoforma to a User, by a User to the Exchange or the Neoforma Marketplaces or
between a Supplier and a Purchaser through the Exchange or Neoforma, that
relates to Product purchase, sale, availability, price, terms of payment or
order status, including summaries and compilations of the foregoing.

        "Transition Period" means the period of 180 days following the date on
which this Agreement (or the license granted under Section 3.1.5) is terminated
pursuant to ARTICLE 14; provided that if this Agreement is terminated due to a
breach of ARTICLE 9 or ARTICLE 10, or if such license is terminated due to a
breach of ARTICLE 10, then the Transition Period shall be only 90 days.

        "UHC" means University HealthSystem Consortium.

        "Unauthorized Access" means access to the Exchange Site or the Neoforma
Marketplaces, as the case may be, that is not in conformity with the respective
agreements or rules of the Exchange or Neoforma.

        "User Agreement" has the meaning set forth in ARTICLE 1.

        "Users" has the meaning set forth in ARTICLE 1.

        "VHA" means VHA Inc.

        2.2. RULES OF CONSTRUCTION. In this Agreement, unless a clear, contrary
        intention appears:

             2.2.1 the singular number includes the plural number and vice
             versa;

             2.2.2 reference to any Person includes such Person's successors and
             assigns, if applicable, but only if such successors and assigns are
             permitted by this Agreement;

             2.2.3 reference to any gender includes the other gender;

                                       7
<PAGE>

             2.2.4 reference to any Article, Section or Schedule means such
             Article, such Section or such Schedule to this Agreement, as the
             case may be, and references in any Section or definition to any
             clause means such clause of such Section or definition;

             2.2.5 "herein", "hereunder", "hereof", "hereto", and words of
             similar import shall be deemed references to this Agreement as a
             whole and not to any particular Section or other provision hereof
             or thereof;

             2.2.6 "including" (and with correlative meaning "include") shall be
             deemed to be followed by the phrase "without limitation";

             2.2.7 reference to any law (including statutes and ordinances)
             means such law as amended, modified, codified or reenacted, in
             whole or in part, and in effect from time to time, including rules
             and regulations promulgated thereunder; and

             2.2.8 the headings contained in this Agreement (except for the
             Schedules) have been inserted for convenience of reference only,
             and are not to be used in construing this Agreement.

        2.3. LEGAL REVIEW. This Agreement was negotiated by the parties with the
        benefit of legal representation, and any rule of construction or
        interpretation otherwise requiring this Agreement to be construed or
        interpreted against either party shall not apply to any construction or
        interpretation hereof. This Agreement shall be interpreted and construed
        to the maximum extent possible so as to uphold the enforceability of
        each of the terms and provisions hereof, it being understood and
        acknowledged that this Agreement was entered into by the parties after
        substantial and extended negotiations and with full awareness by the
        parties of the terms and provisions hereof and the consequences thereof.

                                   ARTICLE 3
                       DEVELOPMENT AND ALLIANCE STRUCTURE

        3.1. INITIAL DEVELOPMENT RESPONSIBILITIES.

             3.1.1 The Exchange shall provide the Catalog to Neoforma in digital
             form needed to support Purchaser functionality. Neoforma shall
             provide the Exchange with all relevant information regarding
             Neoforma Purchasers, including organization data, GPO eligibility
             and transaction information.

             3.1.2 The Exchange does not have and will not build a master price
             file or include list prices in the Catalog, but the Supplier
             Connectivity Portal provides access to Supplier websites where
             prices may be accessed by Exchange Users.

                                       8
<PAGE>

             3.1.3 As part of the process set forth in Section 3.1.4 below, the
             parties will evaluate the desirability of jointly developing and
             implementing pricing tools. Unless agreed otherwise as part of the
             implementation plan or as part of any future development undertaken
             pursuant to Section 3.4.2, the Exchange shall not use GPO or
             Covered Provider eligibility information provided by Neoforma or
             Covered Providers to develop or implement a set of collaboration
             tools and processes that allow a Provider and Supplier to interact
             and reach agreement upon a specific unit price. Neoforma shall not
             use, and shall not permit Covered Providers to use, electronic
             connections and communications systems the Exchange has established
             with Suppliers in order to develop or implement a set of
             collaboration tools and processes that allow a Provider and
             Supplier to interact and reach agreement upon a specific unit
             price.

             3.1.4 Promptly following the Effective Date, the parties will
             collaborate to develop a high level integration plan and
             opportunity assessment to be presented jointly to senior management
             of both parties by not later than October 15, 2001. This initial
             plan and assessment shall be created and conducted by the parties
             to determine the best means of integrating the Neoforma
             Marketplaces with the Supplier Connectivity Portal, taking into
             account such considerations as cost, time and functionality, and
             shall include all Distributor Service Level Requirements and a plan
             and schedule for Neoforma's provision of the Initial Consulting
             Services. Promptly following the joint presentation and concurrence
             of the parties on the integration plan, the parties shall use
             commercially reasonable efforts to develop APIs as such plan
             determines to be necessary and appropriate to create the Integrated
             Solution and to allow Integrated Solution Users to access the
             Catalog, access price and inventory availability from Suppliers,
             issue purchase orders, receive purchase order acknowledgements,
             determine order status, maintain User information, and transmit
             order information. The parties shall collaborate as appropriate to
             ensure that the Integrated Solution functions in accordance with
             agreed-upon specifications and performance criteria before it is
             made available to Users. Each party shall deliver to the other its
             Interface and all modifications and enhancements thereto, as
             developed in accordance with and subject to the terms of this
             Agreement. The parties shall, as appropriate, participate in the
             development of and, in their sole discretion, adopt, industry
             standards to facilitate integration and improve functionality. As
             part of the plan and assessment, the Exchange will consider
             licensing the Neoforma Classification Scheme or parts thereof from
             Neoforma, and Neoforma will consider licensing the same to the
             Exchange, solely for the purposes of incorporation into the
             Classification Scheme and use in the Integrated Solution, provided
             that nothing in this Agreement shall require either party to enter
             into any such license.

             3.1.5 In consideration for the payment of the license fees set
             forth in Section 3.1.7, Neoforma grants to the Exchange a
             perpetual, fully paid,

                                       9
<PAGE>

             non-exclusive, non-transferable (except as provided in Section
             15.9), non-sublicensable right (except to the extent permitted by
             this Section 3.1.5 below), subject to the terms and conditions of
             this Agreement, to install, use, copy, display, modify and create
             derivative works of the Neoforma RCS in * , solely for the purposes
             of creating connectivity between Exchange Suppliers and the
             Supplier Connectivity Portal (including its open interface
             specifications) and permitting the exchange of Transaction Data
             between Exchange Suppliers and the Supplier Connectivity Portal
             (the "Licensed Purpose"). Any derivative works created by the
             Exchange pursuant to this license shall constitute part of the
             Neoforma RCS and shall be subject to this license, it being
             understood that neither this license nor the Exchange's use of any
             property licensed hereunder shall transfer to Neoforma any right,
             title or interest in or to any of the Exchange Intellectual
             Property. The Exchange may sublicense, only to Suppliers, solely
             those portions of the Neoforma RCS necessary to be hosted or
             otherwise used by Suppliers (e.g. templates, data maps and
             connectivity scripts) necessary to support the Licensed Purpose.
             Notwithstanding any provision of this Agreement to the contrary,
             this license shall survive the termination of this Agreement,
             except as provided in Section 14.2.6.

             3.1.6 Neoforma will provide * of knowledge transfer and consulting
             services in connection with the delivery and implementation of the
             Neoforma RCS by the Exchange ("Initial Consulting Services").
             Neoforma shall provide the Initial Consulting Services in
             accordance with the integration plan developed under Section 3.1.4.
             Additional consulting services will be available at the Exchange's
             request. The hourly rate for any such services shall be based upon
             the nature of the services to be provided, as set forth on Schedule
             D. The Initial Consulting Services and all additional consulting
             services shall be performed by Neoforma personnel having skill sets
             that the Exchange reasonably considers necessary for the knowledge
             transfer or services to be performed.

             3.1.7 In consideration of the license granted pursuant to Section
             3.1.5 and the Initial Consulting Services, the Exchange shall pay
             Neoforma Three Million Five Hundred Thousand Dollars ($3,500,000),
             payable $1,500,000 on September 17, 2001, $1,500,000 on December
             17, 2001, and $500,000 on March 15, 2002. Notwithstanding the
             foregoing, if Neoforma fails to perform Initial Consulting Services
             scheduled to be performed by the date any payment is due under this
             section and such failure occurred through no fault of the Exchange,
             then the Exchange may defer a part of the applicable payment, in an
             amount equal to the number of hours scheduled for each type of
             service contemplated by Schedule D, multiplied by the applicable
             hourly rate for such type of service. The

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* Confidential treatment requested

                                       10
<PAGE>

             Exchange shall pay such deferred amount promptly after the late
             services are performed.

        3.2. COSTS OF DEVELOPMENT AND INTEGRATION. Each party shall bear its own
        costs for the plan and assessment referred to above and for the cost of
        its own development responsibilities. The parties shall share equally
        the cost of any mutually required hardware and third party software.
        Each party, at its own expense, shall obtain all software and other
        rights necessary to access the software or systems of the other, to the
        extent such access is required hereunder. The parties will consider
        shared investment in any necessary technology in order to simplify
        integration or obtain more favorable terms for the purchase or license
        of any necessary third party technology, provided that nothing in this
        Agreement shall require either party to make any such investment. If, at
        Neoforma's request, the Exchange agrees to provide any consulting
        services to Neoforma hereunder, then such consulting services shall be
        provided at the rates set forth on Schedule D.

        3.3. API CROSS LICENSES.

             3.3.1 The Exchange grants to Neoforma during the Term a
             royalty-free, non-exclusive, non-transferable, non-sublicensable
             right, subject to the terms and conditions of this Agreement, to
             install, use, copy and display the Exchange Interface in * ,
             together with all related specifications, software programs and
             documentation necessary to create and maintain the interfaces
             between the Neoforma Marketplaces and the Supplier Connectivity
             Portal (including its open interface specifications), solely for
             the purpose of creating and maintaining the Integrated Solution.
             The Exchange Interface shall be provided to Neoforma in object code
             form only.

             3.3.2 Neoforma grants to the Exchange during the Term a
             royalty-free, non-exclusive, non-transferable, non-sublicensable
             right, subject to the terms and conditions of this Agreement, to
             install, use, copy and display the Neoforma Interface in * ,
             together with all related specifications, software programs and
             documentation necessary to create and maintain the interfaces
             between the Neoforma Marketplaces and the Supplier Connectivity
             Portal (including its open interface specifications), solely for
             the purpose of creating and maintaining the Integrated Solution.
             The Neoforma Interface shall be provided to the Exchange in object
             code form only.

             3.3.3 Nothing in this Section 3.3 shall authorize either party to
             display publicly, modify or create derivative works of the licensed
             software, if any, and APIs.

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                                       11
<PAGE>

             3.3.4 Neither party shall disassemble, reverse engineer or
             decompile any of the other party's property licensed under this
             Section 3.3.

        3.4. FUTURE DEVELOPMENT.

             3.4.1 Individual Enhancements. The Exchange and Neoforma, each
             reserve the right, in its sole discretion, to modify and add to the
             Exchange Interface and the Neoforma Interface, respectively. The
             Exchange and Neoforma shall share development plans and estimated
             release schedules with respect to changes, improvements and
             enhancements to the Exchange Interface and to the Neoforma
             Interface, respectively. Each party shall, at its own cost, develop
             modifications or additions to its APIs, so that Integrated Solution
             Users will be able to use all such changes, improvements and
             enhancements implemented by such party and to maintain all other
             functionality (including all relational links among entries in the
             database comprising the Catalog) of the Integrated Solution.

             3.4.2 Combined Enhancements. The parties shall cooperate in the
             design, development and deployment of enhancements to the
             Integrated Solution, with functionality to be agreed upon by the
             parties. In particular, the parties may, at their option, develop
             and market a three-way price matching premium service to resolve
             price inconsistencies among GPOs (e.g., Novation), Suppliers and
             Providers.

        3.5. CHANGES. Subject to Section 3.4.1, the Exchange, in its sole
        discretion, may (a) enhance, delete or modify any or all of the
        features, format, "look and feel," functions or services of the Exchange
        Site, the procedures for use of the Exchange Site, or the information
        offered on the Exchange Site, and (b) subject to Sections 3.4.1 and 4.2,
        Neoforma, in its sole discretion, may enhance, delete or modify any or
        all of the features, format, "look and feel," functions or services of
        the Neoforma Marketplaces, the procedures for use of the Neoforma
        Marketplaces, or the information offered on the Neoforma Marketplaces.
        Neoforma acknowledges that each Exchange Supplier that has authorized
        the Exchange to sublicense its Product Data to Neoforma may, at its
        option and upon sixty (60) days prior written notice to the Exchange,
        cause the Exchange to terminate that sublicense, unless such Exchange
        Supplier otherwise agrees with Neoforma. The Exchange shall provide
        Neoforma with forty-five (45) days prior written notice if any Supplier
        terminates any such sublicense. Neoforma shall notify the Exchange
        promptly after it receives any notice that a Provider has ceased to be a
        Neoforma User.

        3.6. ALLIANCE STRUCTURE.

             3.6.1 The Exchange shall connect Suppliers who are Integrated
             Solution Users to the Integrated Solution and shall retain all
             related fees and revenues.

                                       12
<PAGE>

             3.6.2 Neoforma shall connect Providers who are Integrated Solution
             Users to the Integrated Solution and shall retain all related fees
             and revenues.

             3.6.3 The parties may subcontract the performance of services
             hereunder to each other upon mutually agreed upon terms and
             conditions.

             3.6.4 Neoforma shall display the Catalog, in accordance with
             ARTICLE 4, to Integrated Solution Users. The Exchange shall not
             charge Neoforma any fees for Neoforma's access to the Catalog.

             3.6.5 Each party shall transmit to the other all order information
             that it receives regarding transactions between Neoforma Purchasers
             and Exchange Suppliers. Each party shall then transmit such order
             information to its applicable Users. Neither party shall charge the
             other party any fees for any such transmissions. The foregoing
             shall not preclude or affect any fees that any User agrees to pay
             either Neoforma or the Exchange.

             3.6.6 Neoforma and the Exchange may each market and sell
             value-added services and/or premium services to any Provider or
             Supplier, and each may retain any revenue it receives in connection
             therewith. The parties may also agree to co-market and/or
             cross-sell such value-added services or premium services, and shall
             determine the division of any related revenues at such time,
             pursuant to a separate written agreement.

             3.6.7 Neoforma and the Exchange shall evaluate opportunities to
             develop jointly value-added services and/or premium services that
             may be beneficial to Suppliers and Providers. Neoforma and the
             Exchange shall mutually agree, in writing, to cost-sharing and
             revenue-sharing terms before they begin any such joint development.

                                   ARTICLE 4
                                 CONTENT LICENSE

             4.1. LICENSE. The Exchange grants to Neoforma during the Term the
             non-exclusive, non-transferable, non-sublicensable, royalty-free
             right to perform the following activities, subject to the terms and
             conditions of this Agreement: (i) to host the Catalog on the
             Neoforma Marketplaces; (ii) to display the Catalog or any part
             thereof (subject to the provisions of Section 4.2), as part of the
             Integrated Solution, to any Integrated Solution User * (the
             "Territory"); (iii) to use GHXml(TM)solely in furtherance of the
             purposes of this Agreement; and (iv) to make such internal copies
             of the Catalog as are necessary for the foregoing purposes. Except
             as set forth herein, Neoforma shall not use, copy, display or

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                                       13
<PAGE>

             distribute the Catalog, in any form, in whole or in part, without
             the Exchange's prior written consent.

        4.2. LIMITATIONS ON DISPLAY OF CATALOG. The Exchange acts as a passive
        conduit for the display and publication of Product Data, and the
        Exchange reserves to the Exchange Suppliers complete control over the
        form and substance of all Product Data, subject to such Exchange
        Suppliers' obligations under their respective Exchange User Agreements.
        Neoforma shall use and display the Catalog and all Product Data
        contained therein verbatim as received, and may not edit, modify or
        translate the Catalog or such Product Data in any way except as
        specified in this Agreement. Notwithstanding any other provision of this
        Section 4.2, Neoforma may use and display the Product Data without using
        and displaying related elements of the Classification Scheme. Without
        limiting the foregoing or the provisions of Section 4.1, unless the
        applicable Exchange Supplier agrees to allow Neoforma to do so, Neoforma
        shall not alter the Classification Scheme or any part thereof, nor shall
        Neoforma use or display Product Data under a modified Classification
        Scheme or under any classification system other than the Classification
        Scheme. Neoforma shall at all times maintain all relational links within
        the Catalog and shall not alter any part of the Catalog in any way that
        interferes with the Exchange's ability to maintain and update the
        Catalog. Neoforma shall not create derivative works of the Catalog or
        any part thereof; provided, however, that Neoforma may (i) extract
        subsets of the unmodified Catalog at the ------- direction of and for
        use by individual Purchasers, (ii) cross-reference Product numbers used
        by distributors that are authorized distributors of Products of Exchange
        Suppliers but are not Exchange Users, and(iii) format the Catalog to
        conform to the compilation or "look and feel" of the Neoforma Solutions.
        With regard to all such modifications and subsets created by Neoforma
        pursuant to this Section 4.2: (i) Neoforma shall not change the content
        of the individual fields of the Catalog, (ii) other than information
        regarding other products added by Neoforma, all such modifications and
        subsets shall constitute part of the Catalog, and (iii) Neoforma shall
        have no greater rights in any such modification or subset than its
        rights to use and display the Catalog as provided in this Agreement.
        Nothing herein shall limit Neoforma's right to display data regarding
        other products together with the Catalog or permitted subsets thereof.
        For purposes of clarity, Neoforma may offer any Integrated Solution User
        a GPO-specific catalog containing a subset of the Catalog together with
        data regarding other products, provided that such Integrated Solution
        User may use and display all Product Data in the Catalog at its option.
        Neoforma shall, at no charge to the Exchange or the Exchange Suppliers
        and upon the Exchange's request with reasonable prior notice, provide
        the Exchange and the Exchange Suppliers with sufficient access to the
        Neoforma Solutions to permit the Exchange and such Exchange Suppliers to
        verify Neoforma's compliance with this Agreement; provided, however,
        that nothing in this Agreement shall permit Neoforma to disclose any
        Supplier's Product Data to any other Supplier. At the time the
        Exchange's User Agreements are subject to renewal, the Exchange shall
        modify its form of User Agreement to permit Neoforma to display Product
        Data under the Neoforma Classification Scheme, and shall further use

                                       14
<PAGE>

        commercially reasonable efforts to promptly (i) have all Users accept
        this modification to the User Agreement in accordance with the amendment
        process set forth in the User Agreement, and (ii) replace any
        outstanding MOUs with such modified User Agreements.

        4.3. CATALOG UPDATES. Subject to Section 4.4, the Exchange shall provide
        Catalog updates promptly after they are created and published on the
        Exchange Site, or at a frequency and in a manner as is reasonably agreed
        by the parties. Neoforma shall use reasonable efforts to maintain its
        ability to receive and process such updates and to make the Catalog
        available at all times to Integrated Solution Users.

        4.4. WITHDRAWAL OF CATALOG. The Exchange may withdraw or cancel all or
        any affected part of the Catalog if: (a) the Catalog or any part thereof
        becomes the subject of a claim that it infringes the rights of any third
        Person or that the Exchange otherwise does not have the right to permit
        others to use it; (b) the Catalog or any part thereof becomes illegal or
        contrary to any applicable law or regulation, or the Exchange is
        required by any compulsion of law, including an order or judgment from a
        court of competent jurisdiction, to withdraw all or any part of the
        Catalog; or (c) any Supplier terminates its Supplier Catalog Addendum,
        either in whole, or as to Neoforma specifically (unless the applicable
        Supplier has agreed with Neoforma not to so terminate its Supplier
        Catalog Addendum), or the Exchange terminates such Supplier Catalog
        Addendum with such Supplier, in which case the Exchange may withdraw all
        Product Data offered by such Supplier. If the Exchange withdraws or
        cancels all or part of the Catalog, the Exchange shall notify Neoforma
        promptly thereof. If the Exchange withdraws or cancels all of the
        Catalog, Neoforma shall be entitled to terminate this Agreement in
        accordance with Section 14.2.5. Neoforma acknowledges that Suppliers
        have the right to terminate Neoforma's use of the Catalog at any time
        and for any reason. Neoforma acknowledges that certain Suppliers intend
        to terminate Neoforma's use of the Catalog if Neoforma uses the Catalog
        to offer auction or reverse auction functions (as distinct from
        customary RFP processes) through the Neoforma Marketplaces.

        4.5. IDENTIFICATION OF THE EXCHANGE. The Exchange shall be identified as
        the source of all Product Data used and displayed in the Integrated
        Solution in accordance with this ARTICLE 4.

                                   ARTICLE 5
                                SECURITY; PRIVACY

        5.1. SECURITY. The Exchange shall use commercially reasonable efforts
        consistent with prevailing industry standards to maintain the security
        of the Exchange Site, including constructing and maintaining firewalls
        and other security devices to limit any Unauthorized Access to
        information accessible from the Exchange Site. The Exchange shall also
        use commercially reasonable

                                       15
<PAGE>

        efforts consistent with prevailing industry standards to protect the
        Neoforma Marketplaces from any theft, harm, tampering, sabotage,
        interference, viewing, manipulation, copying or distribution by any User
        using the Exchange Solutions and the Exchange Interface. Neoforma shall
        use commercially reasonable efforts consistent with prevailing industry
        standards to maintain the security of the Neoforma Solutions, including
        constructing and maintaining firewalls and other security devices to
        limit any Unauthorized Access to information accessible through use of
        the Neoforma Solutions. Neoforma shall also use commercially reasonable
        efforts consistent with prevailing industry standards to protect the
        Exchange Site from any theft, harm, tampering, sabotage, interference,
        viewing, manipulation, copying or distribution by any User using the
        Neoforma Solutions and the Neoforma Interface.

        5.2. PRIVACY. Neither party hereto shall breach or attempt to breach the
        computer or software security of the other, attempt to access the
        information of a User stored by the other, or otherwise invade the
        privacy of others in connection with providing the Integrated Solution.

                                   ARTICLE 6
                              MARKETING; REFERRALS

        6.1. ALLIANCE MANAGEMENT. The Exchange and Neoforma each agree to
        establish an "Alliance Manager." The primary responsibility of the
        Alliance Managers shall be to coordinate the implementation of this
        Agreement and the marketing activities contemplated by Section 6.2, and
        to manage the day-to-day activities of the parties under this Agreement.

        6.2. MARKETING; EXPENSES. Each party shall market and sell its own
        solutions and products, and retain all revenue derived therefrom unless
        otherwise agreed, through coordinated marketing and sales efforts
        involving joint meetings and other forms of cooperation as agreed by the
        parties during the sales process. The parties shall each provide sales
        and marketing support personnel who will work together on joint press
        announcements (all of which must be approved in accordance with Section
        9.6), sales force alignment, joint marketing opportunities, conferences
        and similar activities. Each party shall bear its own expenses in
        connection with such sales and marketing activities. Each party hereby
        designates and shall identify the other party to its Users and prospects
        as its "Preferred Connectivity Solution".

        6.3. SALES COOPERATION; NO SALES AGENCY. Each party shall be solely
        responsible for all sales and licenses of its products and services, and
        neither party hereto shall have the authority to sell or license the
        products or services of the other. Neoforma shall be entitled to market
        the Exchange's products and services and to use such marketing materials
        as the Exchange may provide to Neoforma from time to time. Neoforma may
        also present the Exchange's then-current Exchange User Agreement (as
        supplied to Neoforma by the Exchange from time to time) to any prospects
        and obtain the signatures of such prospects thereon; provided, however,
        that the Exchange shall not be bound by any such Exchange User Agreement
        until it has executed the same. The Exchange shall not be obligated to
        execute any such Exchange User Agreement. The Exchange may also present
        Neoforma's then-current Neoforma User Agreement (as supplied to the
        Exchange

                                       16
<PAGE>

        by Neoforma from time to time) to any prospects and obtain the
        signatures of such prospects thereon; provided, however, that Neoforma
        shall not be bound by any such Neoforma User Agreement until it has
        executed the same. Neoforma shall not be obligated to execute any such
        Neoforma User Agreement. Notwithstanding the foregoing, neither party
        shall participate in any discussions or negotiations regarding any fees
        to be charged by the other party pursuant to such party's User
        Agreement, and neither party shall knowingly provide the other party
        with any information regarding such fees.

        6.4. EXCLUSIVITY. For a period of * after the Effective Date, neither
        party shall enter into a strategic alliance substantially similar to
        that contemplated by this Agreement with * . Thereafter, and during the
        Term, the Exchange shall not enter into any agreement with * which
        grants any broader rights to such party than those granted to Neoforma
        under this Agreement with respect to any means of connecting with the
        Exchange or Supplier Connectivity Portal developed with such party, in
        preference to the Integrated Solution. Except as expressly -- provided
        in this Section 6.4, this Agreement is not intended to be an exclusive
        arrangement and nothing contained herein shall limit either party's
        right to enter into alliance or other agreements with any other Person,
        including any direct competitor of the other party. Subject to the
        provisions of this Section 6.4 and Section 6.5, and the other express
        provisions of this Agreement, each party shall be free to pursue its own
        interests and shall not be restricted from: (a) recommending and
        marketing services or products which may be competitive with the other
        party's services or products, (b) entering into an alliance, joint
        marketing agreement or other relationship with a competitor of the other
        party, or (c) referring to a competitor a prospective customer that is
        not already a customer of the other party.

        6.5. RECOMMENDING THE INTEGRATED SOLUTION.

             6.5.1 By the Exchange.

                   (a) The Exchange shall recommend the Integrated Solution to
                   all Covered Providers that it contacts and will not recommend
                   any other solution to such Covered Providers except as
                   provided in Sections 6.5.3 and 6.5.4. The Exchange may, at
                   its option, also market any other products or services then
                   offered by the Exchange to any such Covered Providers. If
                   Neoforma refers a Provider who is not a Covered Provider to
                   the Exchange, the Exchange shall recommend the Integrated
                   Solution to such

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* Confidential treatment requested

                                       17
<PAGE>

                   Provider in accordance with Section 6.3, provided, that such
                   Provider had not previously been contacted by the Exchange or
                   referred to the Exchange by a third party during the
                   preceding six months. The Exchange shall recommend the
                   Integrated Solution to Providers that it contacts who are not
                   Covered Providers, but the Integrated Solution need not be
                   the exclusive connectivity solution recommended to such
                   Providers.

                   (b) The Exchange may present a Neoforma User Agreement to any
                   such Covered Providers in accordance with Section 6.3.

             6.5.2 By Neoforma.

                   (a) Neoforma shall recommend the Integrated Solution to all
                   Covered Suppliers that it contacts (including all
                   Distributors that are Neoforma Users at the time the Exchange
                   first satisfies in all material respects the Distributor
                   Service Level Requirements in effect at the time such
                   satisfaction occurs) and will not recommend any other
                   solution to such Covered Suppliers except as provided in
                   Section 6.5.3. Neoforma may, at its option, also market any
                   other products or services then offered by Neoforma to any
                   such Covered Suppliers. If the Exchange refers a Supplier who
                   is not a Covered Supplier to Neoforma, Neoforma shall
                   recommend the Integrated Solution to such Supplier in
                   accordance with Section 6.3, provided, that such Supplier had
                   not previously been contacted by Neoforma or referred to
                   Neoforma by a third party during the preceding six months.
                   Neoforma shall recommend the Integrated Solution to Suppliers
                   that it contacts who are not Covered Suppliers, but the
                   Integrated Solution need not be the exclusive connectivity
                   solution recommended to such Suppliers.

                   (b) Neoforma may present an Exchange User Agreement to any
                   such Covered Suppliers in accordance with Section 6.3.

             6.5.3 Other Referral Issues.

                   (a) If a prospect informs either party that it prefers to
                   connect to such party other than through the Integrated
                   Solution, then such party may connect such prospect either
                   directly or through another Person. The Exchange or Neoforma,
                   as the case may be, shall notify the other party promptly
                   after it learns that any such prospect wishes to connect
                   other than through the Integrated Solution.

                   (b) The parties may, at their option, cooperate on a
                   case-by-case basis to jointly approach prospects who are
                   neither Covered Providers nor Covered Suppliers.

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<PAGE>

                   (c) All prospect referrals for Covered Suppliers, Covered
                   Providers, and others under Section 6.5.3(b) shall be jointly
                   managed under a mutually approved prospect referral program.
                   The prospect referral, notification and targeting programs
                   shall be put in place by both parties within 30 days of the
                   Effective Date and managed by each party's Alliance Manager.

             6.5.4 Exceptions. Notwithstanding any provisions hereof to the
             contrary, nothing in this Agreement shall obligate the Exchange to
             violate the terms of those current or currently-pending (as of the
             Effective Date) agreements listed on Schedule E hereto with other
             Persons that limit the Exchange's right to recommend the Integrated
             Solution, if such other party refers a prospect to the Exchange. In
             particular, this Section 6.5 shall not apply to prospects that are
             referred to either party by such party's strategic allies, to the
             extent that the applicable agreement restricts such party from
             offering integrated solutions or products other than those
             contemplated by the applicable agreement.

                                   ARTICLE 7
                           IMPLEMENTATION AND SUPPORT

        7.1. IMPLEMENTATION, TRAINING AND FULFILLMENT. Each party hereto shall,
        to the extent necessary, be responsible for installing and implementing
        its own proprietary components of the Integrated Solution. Each party
        hereto shall provide its own implementation and training services to the
        Users using the Integrated Solution. Each party shall fulfill its
        products for its Users through its own distribution network.

        7.2. TECHNICAL SUPPORT.

             7.2.1 Personnel. During the Term, each party hereto shall maintain
             an appropriate number of trained personnel to provide, in a
             professional manner, technical support and enhancements
             ("Maintenance") with respect to its proprietary components of the
             Integrated Solution. Maintenance shall include identifying
             problems, supplying updates to remedy bugs, fixing errors and
             providing, where applicable, new versions or releases of such
             components. Each party shall also maintain a number of trained
             personnel sufficient to enable such party to meet its obligations
             under Section 7.2.2 below.

             7.2.2 Customer Support.

                   (a) Neoforma shall, pursuant to its customary agreements with
                   its customers, respond to and fix problems associated with
                   User calls related to the Neoforma Solutions. If an
                   Integrated Solution User calls regarding an operational
                   issue, Neoforma shall verify the integrity of the system
                   followed by, if necessary, passing a call to

                                       19
<PAGE>

                   the Exchange, if Neoforma determines that the source of the
                   User's problem is associated with the Exchange Solutions.

                   (b) The Exchange, shall, pursuant to its customary agreements
                   with its Users, respond to and fix problems associated with
                   User calls related to the Exchange Solutions. If an
                   Integrated Solution User calls regarding an operational
                   issue, the Exchange shall verify the integrity of the system
                   followed by, if necessary, passing a call to Neoforma, if the
                   Exchange determines that the source of the User's problem is
                   associated with the Neoforma Solutions.

                   (c) When the source of any particular customer problem cannot
                   readily be determined, the parties' respective support
                   organizations shall collaborate reasonably to identify the
                   cause of the problem and to implement a solution.

        7.3. LINKAGES. Neoforma and the Exchange shall each be responsible for
        the creation, management and monitoring of their respective components
        of the telecommunications and hardware connections between multiple
        Exchange data centers and multiple Neoforma data centers (the
        "Linkages"), and shall cooperate with each other to create, manage and
        monitor the Linkages. Both parties shall make commercially reasonable
        efforts to ensure that their respective components of the Linkages and
        the Integrated Solution will operate in compliance with reasonable and
        customary technical performance standards. Neither party shall be liable
        for any Internet or telecommunications failure, computer virus,
        third-party interference or other third party software or hardware
        failure that may interrupt or delay access to any Internet site or
        interfere with the performance of the Linkages or the Integrated
        Solution, unless such problem was caused or created directly by such
        party.

                                   ARTICLE 8
                         REPRESENTATIONS AND WARRANTIES

        8.1. REPRESENTATIONS AND WARRANTIES OF THE EXCHANGE. The Exchange
        represents and warrants to Neoforma that:

                   (a) it has all requisite right, power and authority to enter
                   into this Agreement and to perform its obligations hereunder;

                   (b) the entry into and performance of this Agreement by the
                   Exchange has been duly authorized by all necessary limited
                   liability company action on the part of the Exchange and this
                   Agreement constitutes a valid agreement, binding upon and
                   enforceable against the Exchange in accordance with its
                   terms; and

                   (c) the execution and delivery of this Agreement by the
                   Exchange and the consummation of the transactions herein

                                       20
<PAGE>

                   provided will not (i) conflict with any agreement, document
                   or instrument to which the Exchange is a party; (ii) violate
                   any order, writ, injunction or decree of court,
                   administrative agency or governmental body, or (iii) require
                   the approval, consent or permission of any governmental or
                   regulatory body or authority of which the Exchange is aware,
                   having authority over the Exchange.

        8.2. REPRESENTATIONS AND WARRANTIES OF NEOFORMA. Neoforma represents and
        warrants to the Exchange that:

                   (a) Neoforma has all requisite right, power and authority to
                   enter into this Agreement and to perform its obligations
                   hereunder;

                   (b) the entry into and performance of this Agreement by
                   Neoforma has been duly authorized by all necessary corporate
                   action on the part of Neoforma, and this Agreement
                   constitutes a valid agreement, binding upon and enforceable
                   against Neoforma in accordance with its terms;

                   (c) the execution and delivery of this Agreement by Neoforma
                   and the consummation of the transactions herein provided will
                   not (i) conflict with any agreement, document or instrument
                   to which Neoforma is a party; (ii) violate any order, writ,
                   injunction or decree of court, administrative agency or
                   governmental body, or (iii) require the approval, consent or
                   permission of any governmental or regulatory body or
                   authority of which Neoforma is aware, having authority over
                   Neoforma; and

                   (d) As of the Effective Date, Neoforma is meeting in all
                   material respects all of the service level requirements set
                   forth on Schedule B for all Distributors using the Neoforma
                   Marketplaces.

                                    ARTICLE 9
                                    OWNERSHIP

        9.1. OWNERSHIP BY THE EXCHANGE. As between the Exchange and Neoforma,
        the Exchange owns and shall own all right, title and interest in and to
        all Exchange Intellectual Property. Neither any license granted
        hereunder nor the Exchange's use of any property licensed hereunder
        shall transfer to Neoforma any right, title or interest in or to any of
        the Exchange Intellectual Property.

        9.2. OWNERSHIP BY NEOFORMA. As between Neoforma and the Exchange,
        Neoforma owns all right, title and interest in and to all Neoforma
        Intellectual Property. Neither any license granted hereunder nor
        Neoforma's use of any property licensed hereunder shall transfer to the
        Exchange any right, title or interest in or to any of the Neoforma
        Intellectual Property.

                                       21
<PAGE>

        9.3. OWNERSHIP BY THIRD PARTIES. The Exchange Site and the Catalog
        contain third party Marks and other Intellectual Property belonging to
        third parties, including Product Data and Transaction Data. The Neoforma
        Marketplaces contain third party Marks and other Intellectual Property
        belonging to third parties, including Product Data and Transaction Data.
        All such Intellectual Property is and shall remain the property of its
        respective owners. Except as expressly provided in this Agreement, the
        Exchange does not grant to Neoforma any right to copy or use any such
        Intellectual Property.

        9.4. TRANSACTION DATA.

             9.4.1 The parties to each transaction (e.g., the applicable
             Supplier and Purchaser) shall own the Transaction Data relating to
             such transaction. Neither the Exchange nor Neoforma may disclose
             any Transaction Data to any third party without the consent of
             either owner of such Transaction Data.

             9.4.2 Nothing in this Agreement shall affect the ownership of
             contract price files.

        9.5. AGGREGATED DATA. Neither party shall collect, compile or use any
        Aggregated Data without the consent of all the Suppliers and Purchasers
        whose Transaction Data is included, in whole or in part, in such
        Aggregated Data. Such consent may be included in either party's separate
        agreements with Suppliers or Purchasers. Notwithstanding the foregoing,
        each party shall use commercially reasonable efforts to obtain such
        consents. Neither party shall have any right to Aggregated Data
        collected by the other party. Neoforma may provide Novation with
        Neoforma Aggregated Data regarding contract and non-contract purchasing
        to assist Novation in managing its GPO operations, subject to Neoforma
        receiving the consent of the applicable Suppliers and Providers, to the
        extent that such consent is required by this ARTICLE 9. Each party may
        sell its own Aggregated Data, and the parties may also jointly sell
        Aggregated Data, but Aggregated Data may not be sold by either party to
        a Supplier or Purchaser who has not consented to allow the parties to
        create Aggregated Data from such Supplier's or Purchaser's Transaction
        Data. Notwithstanding the foregoing, the Exchange shall not sell any
        Aggregated Data which is derived from use of the Integrated Solution and
        which is aggregated on an individual GPO level without such GPO's
        consent, and further, in no event shall such Aggregated Data be sold
        unless data from any one GPO is combined with other data that equals at
        least 30% of the total Aggregated Data being sold. At the time the
        Exchange's User Agreements are subject to renewal, the Exchange shall
        use commercially reasonable efforts to obtain consent from each Supplier
        sufficient to permit Neoforma to collect, compile and use Aggregated
        Data arising from such Supplier's Transaction Data.

        9.6. PUBLICITY; USE OF MARKS. Except as otherwise set forth in this
        Agreement, neither party shall use any of the other party's Marks in
        advertising

                                       22
<PAGE>

        or other promotional material or activity (including Internet sites)
        without first obtaining the owner's prior written consent, which consent
        shall not be unreasonably withheld or delayed. The party using the
        owner's Marks must adhere to the owner's internal policies regarding
        their use. Any press release related to this Agreement or the
        transactions contemplated hereby must be approved in writing by both
        parties, such approval not to be unreasonably withheld or delayed.

                                   ARTICLE 10
                                 CONFIDENTIALITY

        10.1. CONFIDENTIAL INFORMATION. All business, operational, customer,
        technological, financial and commercial information furnished or
        disclosed by each party to this Agreement, including (i) Exchange
        Intellectual Property; (ii) Neoforma Intellectual Property; (iii)
        Product Data, Transaction Data and Aggregated Data; (iv) the terms and
        conditions on which each party provides its respective products and
        services and (v) other non-public information about each party's
        business strategies and future products or offerings, constitutes the
        sole and exclusive confidential and proprietary information of the
        disclosing party. Confidential information of the Exchange is referred
        to hereinafter as "Exchange Confidential Information" and confidential
        information of Neoforma is referred to hereinafter as "Neoforma
        Confidential Information." Exchange Confidential Information includes
        the Exchange Intellectual Property and (regardless of whether or not the
        Exchange owns the same) all Product Data, Transaction Data, the
        Classification Scheme and Exchange Aggregated Data. Neoforma
        Confidential Information includes Neoforma Intellectual Property,
        Transaction Data, the Neoforma Classification Scheme and Neoforma
        Aggregated Data. Exchange Confidential Information and Neoforma
        Confidential Information are collectively referred to hereinafter as
        "Confidential Information." In addition, except as necessary to fulfill
        its obligations hereunder, each party agrees to treat the terms of this
        Agreement as Confidential Information.

        10.2. OBLIGATIONS. Each party agrees to protect the confidentiality of
        the other's Confidential Information in the same manner that it protects
        the confidentiality of its own proprietary and confidential information
        of like kind, but in no event with less than due care and attention.
        Except as necessary to perform its obligations hereunder or as expressly
        permitted hereunder, neither party shall reproduce or use any
        Confidential Information of the other party or disclose to any other
        Person the other party's Confidential Information, in any case without
        the prior written consent of the other party or, in the case of
        Transaction Data, without the prior written consent of the applicable
        Supplier or Purchaser. Neoforma may share Confidential Information,
        other than Product Data and Transaction Data, with Novation, VHA, UHC
        and HPPI provided (A) those parties agree to comply with the obligations
        of this Section 10.2, and (B) those parties use such Confidential
        Information solely in support of the transactions contemplated by this
        Agreement. For avoidance of doubt, Neoforma may share Product Data and

                                       23
<PAGE>

        Transaction Data with Novation, VHA, UHC and HPPI if permitted by other
        provisions of this Agreement. A party receiving Confidential Information
        shall have no obligations under this Section 10.2 as to Confidential
        Information that the receiving party establishes:

                   (a) is published or otherwise becomes available to the
                   general public without breach of this Agreement;

                   (b) was furnished by a third party in a manner not involving
                   a breach of such third party's obligations to the disclosing
                   party, except that this clause (b) shall in no event apply to
                   Transaction Data transmitted by Users;

                   (c) was in a party's possession prior to the disclosure by
                   the other party; or

                   (d) was developed independently by an employee or agent who
                   was not aware of Confidential Information furnished to the
                   receiving party pursuant to this Agreement.

        10.3. LEGAL PROCESS. If either party receives a subpoena or other
        validly issued administrative or judicial process requesting
        Confidential Information of the other party, it shall provide prompt
        notice to the other of such receipt. The party receiving the subpoena or
        process shall thereafter be entitled to comply with such subpoena or
        other process; provided that such party shall reasonably cooperate with
        the other party's efforts to obtain an appropriate protective order to
        preserve the confidentiality of the requested Confidential Information.

        10.4. INJUNCTIVE RELIEF. Each party hereto acknowledges and agrees that
        money damages alone cannot adequately compensate the other party for a
        breach of this Section 10.4; and that any such breach will cause
        immediate and irreparable harm.

                                   ARTICLE 11
                                 INDEMNIFICATION

        11.1. NEOFORMA. Neoforma agrees to indemnify and hold harmless the
        Exchange and any member, officer, director, employee or agent thereof
        (collectively, "Exchange Parties"), from any and all liabilities,
        damages, costs and expenses, including reasonable attorneys' fees
        incurred by the Exchange or any Exchange Party as a result of any claim
        relating to (a) any claim that any of the Neoforma Solutions provided to
        the Exchange, any Exchange Party or any User hereunder infringes or
        violates a third party's Intellectual Property, and (b) any use of the
        Product Data or the Catalog by Neoforma other than as permitted by
        ARTICLE 4. Neoforma shall pay all damages and costs finally awarded
        against the Exchange or any Exchange Party which are attributable to
        such a claim or

                                       24
<PAGE>

        amounts agreed to be paid by the Exchange or any Exchange Party in
        settlement thereof, provided that the Exchange: (i) promptly notifies
        Neoforma of any such related claim or suit by a third party; (ii)
        permits Neoforma to assume sole authority to conduct the trial or
        settlement of such claim or suit or any negotiations related thereto at
        Neoforma's own expense; and (iii) provides information and assistance
        reasonably requested by Neoforma in connection with such claim or suit,
        at Neoforma's own expense if so requested; provided, further, however
        that: (A) the Exchange may participate in any such claim or suit at its
        own expense and (B) Neoforma shall not, without the Exchange's consent,
        agree to any settlement which (1) makes any admission on behalf of the
        Exchange, any Exchange Party or any User, (2) consents to any injunction
        against the Exchange, any Exchange Party or any User (except an
        injunction relating solely to continued use of any infringing
        intellectual property) or (3) imposes any ongoing liability on the
        Exchange, any Exchange Party or any User.

        11.2. THE EXCHANGE. The Exchange agrees to indemnify and hold harmless
        Neoforma and any stockholder, officer, director, employee or agent
        thereof (collectively, "Neoforma Parties"), from any and all
        liabilities, damages, costs and expenses, including reasonable
        attorneys' fees incurred by Neoforma or any Neoforma Party as a result
        of any claim relating to (a) a claim that the Exchange provided to
        Neoforma the Catalog, or any part thereof, including any Product Data,
        that the Exchange had no right to so provide, or (b) a claim that any of
        the Exchange Solutions provided to Neoforma or any Neoforma Party
        hereunder infringes or violates a third party's Intellectual Property.
        The Exchange shall pay all damages and costs finally awarded against
        Neoforma or any Neoforma Party which are attributable to such a claim or
        amounts agreed to be paid by Neoforma or any Neoforma Party in
        settlement thereof, provided that Neoforma: (i) promptly notifies the
        Exchange of any such related claim or suit by a third party; (ii)
        permits the Exchange to assume sole authority to conduct the trial or
        settlement of such claim or suit or any negotiations related thereto at
        the Exchange's own expense; and (iii) provides information and
        assistance reasonably requested by the Exchange in connection with such
        claim or suit, at the Exchange's own expense if so requested; provided,
        further, however that: (A) Neoforma may participate in any such claim or
        suit at its own expense and (B) the Exchange shall not, without
        Neoforma's consent, agree to any settlement which (1) makes any
        admission on behalf of Neoforma or any Neoforma Party, (2) consents to
        any injunction against Neoforma or any Neoforma Party (except an
        injunction relating solely to continued use of any infringing
        intellectual property) or (3) imposes any ongoing liability on Neoforma
        or any Neoforma Party.

                                   ARTICLE 12
                             LIMITATION OF LIABILITY

        12.1. LIMITATION OF NEOFORMA'S LIABILITY. Neoforma's aggregate liability
        for all claims of any kind (other than liabilities arising from death,
        bodily injury, Neoforma's obligations under Section 11.1, and breaches
        of Section 9.4 and

                                       25
<PAGE>

        ARTICLE 10), whether based on contract, indemnity, warranty, tort
        (including negligence), strict liability or otherwise, for all losses or
        damages arising out of, connected with, or resulting from this Agreement
        or from the performance or breach thereof, or from any services covered
        by or furnished under this Agreement, shall in no case exceed $500,000.
        Except for liabilities arising from death, bodily injury, Neoforma's
        obligations under Section 11.1, and breaches of Section 9.4 and ARTICLE
        10, Neoforma shall not be liable for any loss of business, use of data,
        interruption of business, lost profits or goodwill, or other indirect,
        special, incidental, exemplary or consequential damages of any kind,
        even if Neoforma has been advised of the possibility of such loss, and
        notwithstanding any failure of essential purpose of any remedy.

        12.2. LIMITATION OF THE EXCHANGE'S LIABILITY. The Exchange's aggregate
        liability for all claims of any kind (other than liabilities arising
        from death, bodily injury, the Exchange's obligations under Section
        11.2, and breaches of Section 9.4 and ARTICLE 10), whether based on
        contract, indemnity, warranty, tort (including negligence), strict
        liability or otherwise, for all losses or damages arising out of,
        connected with, or resulting from this Agreement or from the performance
        or breach thereof, or from any services covered by or furnished under
        this Agreement, shall in no case exceed $500,000. Except for liabilities
        arising from death, bodily injury, the Exchange's obligations under
        Section 11.2, and breaches of Section 9.4 and ARTICLE 10, the Exchange
        shall not be liable for any loss of business, use of data, interruption
        of business, lost profits or goodwill, or other indirect, special,
        incidental, exemplary or consequential damages of any kind, even if the
        Exchange has been advised of the possibility of such loss, and
        notwithstanding any failure of essential purpose or of any limited
        remedy.

        12.3. TIME LIMITS ON BRINGING AN ACTION. No action may be brought by
        either party under this Agreement or otherwise more than two (2) years
        after the earlier of the time when the cause of action arose, or when
        the party was aware of facts which put it on notice thereof.

                                   ARTICLE 13
                                   DISCLAIMERS

        13.1. DISCLAIMERS OF THE EXCHANGE. OTHER THAN AS EXPRESSLY SET FORTH IN
        THIS AGREEMENT, THE EXCHANGE MAKES NO REPRESENTATIONS, WARRANTIES OR
        COVENANTS TO NEOFORMA WITH RESPECT TO THE EXCHANGE INTELLECTUAL PROPERTY
        OR THE CATALOG. OTHER THAN AS EXPRESSLY SET FORTH ABOVE, THE EXCHANGE
        PROVIDES ALL SERVICES PERFORMED HEREUNDER "AS IS." THE EXCHANGE HEREBY
        DISCLAIMS ALL IMPLIED WARRANTIES INCLUDING WARRANTIES OF
        MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, ACCURACY OF DATA,
        NON-INFRINGEMENT AND IMPLIED WARRANTIES ARISING FROM COURSE OF DEALING
        OR COURSE OF PERFORMANCE. THE EXCHANGE DOES NOT WARRANT THAT IT WILL BE
        ABLE TO CORRECT ALL REPORTED DEFECTS IN THE EXCHANGE SOLUTIONS OR THAT
        USE OF THE

                                       26
<PAGE>

        EXCHANGE SOLUTIONS, OR ACCESS TO PRODUCT DATA OR LINKS TO OTHER SUPPLIER
        MATERIALS WILL BE UNINTERRUPTED OR ERROR-FREE. THE EXCHANGE PROVIDES NO
        WARRANTIES WITH RESPECT TO THE FUNCTIONALITY OF THE EXCHANGE SOLUTIONS.
        THE EXCHANGE MAKES NO WARRANTY REGARDING FEATURES, SOFTWARE OR SERVICES
        PROVIDED BY THIRD PARTIES.

        13.2. DISCLAIMERS OF NEOFORMA. OTHER THAN AS EXPRESSLY SET FORTH IN THIS
        AGREEMENT, NEOFORMA MAKES NO REPRESENTATIONS, WARRANTIES OR COVENANTS TO
        ANY PERSON OR ENTITY WITH RESPECT TO THE NEOFORMA INTELLECTUAL PROPERTY.
        OTHER THAN AS EXPRESSLY SET FORTH ABOVE, NEOFORMA PROVIDES ALL SERVICES
        PERFORMED HEREUNDER "AS IS." NEOFORMA HEREBY DISCLAIMS ALL IMPLIED
        WARRANTIES INCLUDING WARRANTIES OF MERCHANTABILITY, FITNESS FOR A
        PARTICULAR PURPOSE, ACCURACY OF DATA, NON-INFRINGEMENT AND IMPLIED
        WARRANTIES ARISING FROM COURSE OF DEALING OR COURSE OF PERFORMANCE WITH
        REGARD TO NEOFORMA SOLUTIONS. NEOFORMA DOES NOT WARRANT THAT IT WILL BE
        ABLE TO CORRECT ALL REPORTED DEFECTS IN THE NEOFORMA SOLUTIONS OR THAT
        USE OF THE NEOFORMA SOLUTIONS WILL BE UNINTERRUPTED OR ERROR-FREE.
        NEOFORMA PROVIDES NO WARRANTIES WITH RESPECT TO THE FUNCTIONALITY OF
        NEOFORMA SOLUTIONS. NEOFORMA MAKES NO WARRANTY REGARDING FEATURES,
        SOFTWARE OR SERVICES PROVIDED BY THIRD PARTIES.

                                   ARTICLE 14
                              TERM AND TERMINATION

        14.1. TERM. The term of this Agreement shall commence upon the Effective
        Date and continue in effect thereafter for a period of three (3) years,
        and shall remain in effect for the duration of any renewal periods to
        which the parties may mutually agree (collectively, the "Term"). This
        Agreement shall be renewable for additional successive one-year terms by
        mutual written consent of the parties.

        14.2. EVENTS OF TERMINATION. This Agreement shall terminate upon the
        expiration of the Term, absent renewal by the parties, and may be
        terminated prior to the end of the Term:

              14.2.1 by either party on ten (10) Business Days' prior written
              notice to the defaulting party if the defaulting party breaches
              its obligations under Section 4.1, Section 4.2, ARTICLE 9 or
              ARTICLE 10 and such breach has not been cured within such ten (10)
              Business Day period;

              14.2.2 by either party upon forty-five (45) days prior written
              notice to the defaulting party if the defaulting party breaches,
              in any material respect, any of its representations, warranties or
              covenants in this Agreement (other than those described in Section
              14.2.1), and such breach has not been cured within forty-five (45)
              days after receipt of written notice of such default from the
              non-defaulting party;

                                       27
<PAGE>

              14.2.3 immediately by either party if: (i) the other party files a
              voluntary petition for relief under the United States Bankruptcy
              Code (the "Code"); (ii) an involuntary proceeding under the Code
              is instituted against the other party and such proceeding is not
              dismissed within sixty (60) days of filing; (iii) the other party
              is otherwise adjudged bankrupt; (iv) a trustee or receiver is
              appointed by the court for all or a substantial portion of the
              assets of the other party; (v) the other party becomes insolvent
              or suspends its business; or (vi) the other party makes an
              assignment of all or substantially all of its assets for the
              benefit of its creditors;

              14.2.4 by the Exchange upon ten (10) Business Days' prior written
              notice and failure by Neoforma to cure any of the following within
              such notice period: (i) the Neoforma Solutions do not meet the
              standards of the Exchange or fail to transmit Transaction Data
              promptly or accurately; or (ii) the Exchange receives multiple,
              significant complaints from Users concerning the Neoforma
              Solutions and Neoforma fails to take appropriate corrective
              action; provided, however, that the Exchange may terminate this
              Agreement immediately if the Exchange, in the exercise of its
              reasonable discretion, determines that failure to take such action
              is likely to cause irreparable harm as a result of (i) or (ii).

              14.2.5 by Neoforma upon ten (10) Business Days' prior written
              notice and failure by the Exchange to cure any of the following
              within such notice period: (i) the Exchange Solutions do not meet
              the standards of Neoforma or fail to transmit Transaction Data
              promptly or accurately; (ii) Neoforma receives multiple,
              significant complaints from Users concerning the Exchange
              Solutions; (iii) the Exchange withdraws the entire Catalog
              pursuant to Section 4.4(d); or (iv) if Exchange Suppliers
              constituting 30% of the average number of Exchange Suppliers for
              the preceding twelve months terminate their Supplier Catalog
              Addenda as to Neoforma; provided, however, that Neoforma may
              terminate this Agreement immediately if Neoforma, in the exercise
              of its reasonable discretion, determines that failure to take such
              action is likely to cause irreparable harm as a result of (i) or
              (ii).

              14.2.6 by Neoforma, solely as to the license of Neoforma RCS
              granted in Section 3.1.5, upon ten (10) Business Days' prior
              written notice and failure by the Exchange to cure any of the
              following within such notice period: (i) the Exchange uses the
              Neoforma RCS in violation of the terms of the license set forth in
              Section 3.1.5, (ii) the Exchange fails to make any payment
              required by Section 3.1.7 when due, or (iii) the Exchange breaches
              the terms of ARTICLE 10 with respect to the Neoforma RCS.

        14.3. CONSEQUENCES OF TERMINATION. If this Agreement terminates in
        accordance with ARTICLE 14, then upon expiration of the Transition
        Period, Neoforma shall (i) cease all use of Exchange Confidential
        Information, return or delete from all electronic media all such
        Exchange Confidential Information and

                                       28
<PAGE>

        certify any such deletion to the Exchange, and (ii) terminate
        connectivity to the Exchange Interface. If this Agreement terminates in
        accordance with ARTICLE 14, then upon expiration of the Transition
        Period, the Exchange shall (i) cease all use of Neoforma Confidential
        Information, return or delete from all electronic media all such
        Neoforma Confidential Information and certify any such deletion to
        Neoforma, and (ii) terminate connectivity to the Neoforma Interface.
        Notwithstanding the foregoing, Transaction Data may be retained for
        archive purposes and for purposes permitted by either of its joint
        owners. If the license of the Neoforma RCS terminates in accordance with
        Section 14.2.6, then upon expiration of the Transition Period, the
        Exchange shall cease all use of Neoforma RCS and return or delete all
        software included in the Neoforma RCS from all electronic media and
        certify any such deletion to Neoforma.

                                   ARTICLE 15
                                     GENERAL

        15.1. EXPENSES. Except as expressly provided herein or agreed to in
        writing, each party shall bear all of its own costs and expenses
        hereunder, including all fees and other amounts payable to third parties
        such as license, maintenance and support fees.

        15.2. INDEPENDENT CONTRACTORS. Each party to this Agreement shall be an
        independent contractor of the other, and shall not be a partner,
        principal, agent or fiduciary of the other party. Neither party shall
        have any right, power or authority to enter into any agreement for or on
        behalf of, or incur any obligation or liability of, or to otherwise
        bind, the other party. This Agreement shall not be interpreted or
        construed to create an association, joint venture or partnership between
        the parties or to impose any partnership obligation or liability upon
        either party.

        15.3. INTEGRATION AND WAIVER. This Agreement and any schedules and
        exhibits attached hereto or subsequently executed hereunder constitute
        the entire agreement between the parties relating to this subject
        matter. All previous and collateral agreements, representations,
        warranties, promises and conditions relating to the subject matter of
        this Agreement are superseded by this Agreement. Any understanding,
        promise, representation, warranty or condition not incorporated into
        this Agreement shall not be binding on either party. No change,
        amendment or modification of any provision of this Agreement shall be
        valid unless set forth in a written instrument signed by the duly
        authorized representatives of both parties. Either party's failure, at
        any time or times hereafter, to require strict performance by the other
        party under any provision of this Agreement shall not waive, affect or
        diminish any right of that party thereafter to demand strict compliance
        and performance therewith. Any suspension or waiver by either party of
        the other party's performance under any provision of this Agreement
        shall not suspend, waive or affect the other party's obligation to
        perform under any other provision of this Agreement, whether the same is
        prior

                                       29
<PAGE>

        or subsequent thereto and whether of the same or of a different kind or
        character.

        15.4. SEVERABILITY. The invalidity or unenforceability of any term or
        provision herein shall in no way affect the validity or enforceability
        of any other term or provision. In such event, the invalid or
        unenforceable provision shall be deemed to be restated to reflect as
        nearly as possible the original intentions of the parties in accordance
        with applicable law.

        15.5. NON-SOLICITATION. During the Term and for a period of one (1) year
        from the date of any termination of this Agreement, each party agrees
        not to knowingly solicit the employees of the other party without the
        prior written permission of the other party.

        15.6. DISPUTES. Unless otherwise required in order to comply with
        deadlines under the law, and other than requests for injunctive or other
        preliminary relief, neither party shall file action or institute legal
        proceedings with respect to any dispute, controversy, or claim arising
        out of, relating to, or in connection with, this Agreement until: (i)
        the aggrieved party has given the other party written notice of its
        grievance setting forth the nature of the dispute, the amount involved,
        if any, and the remedy desired, and delivering in accordance with
        Section 15.10; (ii) the other party has failed to provide a prompt and
        effective remedy; (iii) the aggrieved party has requested senior
        executives for both parties to meet and discuss the matter in order to
        consider informal and amicable means of resolution; and (iv) either such
        meeting failed to occur within fifteen (15) days after such request or
        the meeting did not produce a mutually satisfactory resolution of the
        matter.

        15.7. GOVERNING LAW; JURISDICTION. This Agreement shall be governed by
        and construed in accordance with the laws of the State of New York as
        though all acts or omissions related hereto occurred in such state. All
        court actions arising out of or relating to this Agreement shall be
        brought exclusively in a state or federal court located in the State of
        New York. Each party hereby consents to the jurisdiction of such courts.

        15.8. FORCE MAJEURE. Neither party shall be liable for, or be considered
        in breach of or in default under this Agreement on account of, any delay
        or failure to perform as required by this Agreement as a result of any
        causes or conditions which are beyond such party's reasonable control
        and which such party is unable to overcome by the exercise of reasonable
        diligence; provided, however, that either party may terminate this
        Agreement upon written notice to the other party in the event such
        failure to perform continues unremedied for a period of thirty (30)
        days.

        15.9. ASSIGNMENT. Neither party shall have the right to assign or
        transfer its rights or obligations pursuant to this Agreement without
        the prior written consent of the other party, except that either party
        may assign or transfer this Agreement:

                                       30
<PAGE>

        (i) to a successor as a result of a merger, consolidation, acquisition,
        reorganization or sale of all or substantially all of such party's
        assets; or (ii) to a direct or indirect subsidiary. No such assignment
        or transfer shall have the effect of increasing the obligations of
        either party under this Agreement. The terms and conditions of this
        Agreement will inure to the benefit of, and shall be binding upon, each
        party's successors and permitted assigns. In addition, either party may
        delegate any of its rights and obligations hereunder to any subsidiary
        of such party, provided that the delegating party shall not thereby be
        relieved of any of its obligations hereunder.

        15.10. NOTICES. Any notice, approval, request, authorization, direction
        or other communication under this Agreement shall be given in writing
        and shall be deemed to have been delivered and given for all purposes
        (i) on the delivery date if delivered personally to the party to whom
        the same is directed, (ii) one business day after deposit with a
        commercial overnight carrier, with written verification of receipt, or
        (iii) five business days after the mailing date, with written
        verification of receipt, if sent by United States certified mail, return
        receipt requested, postage and charges prepaid, to the address of the
        party to whom the same is directed. Notices sent pursuant to this
        Section 15.10 may not be sent via electronic mail. The mailing address
        for notice to either party shall be the address shown on the signature
        page of this Agreement. Either party may change its mailing address or
        facsimile number by providing notice to the other party in the manner
        set forth in this Section 15.10.

        15.11. EXECUTION. This Agreement may be executed in one or more
        counterparts, each of which shall be considered an original counterpart,
        and shall become a binding agreement when each party shall have executed
        one counterpart. This Agreement may be signed in person or by facsimile
        and each party is entitled to rely upon facsimile signatures to this
        Agreement.

        15.12. SURVIVAL. The provisions of ARTICLE 2, Section 3.1.5 (subject to
        Section 14.2.6), ARTICLE 9, ARTICLE 10, ARTICLE 11, ARTICLE 12, ARTICLE
        13, Section 14.3, and ARTICLE 15 shall survive termination of this
        Agreement.

        15.13. THIRD PARTY BENEFICIARIES. To the extent that (i) any proprietary
        rights of Users are granted by either Neoforma or the Exchange to the
        other hereunder, or (ii) any restrictions on the use or distribution of
        any such proprietary rights are included herein, then such Users shall
        be third party beneficiaries of this Agreement. As third party
        beneficiaries, Users shall be entitled to enforce directly the
        provisions of this Agreement governing such rights and restrictions,
        provided that (i) any breach of the terms and/or conditions or this
        Agreement by Neoforma or the Exchange has continued for at least 60 days
        after the expiration of any applicable grace or cure period specified
        herein, and (ii) Users' rights of enforcement shall be strictly subject
        to the terms and conditions of this Agreement, including all
        restrictions, exclusions and limitations set forth herein.

                                       31
<PAGE>

        15.14. REVISIONS TO AGREEMENTS. Subject to the other provisions of this
        Agreement, promptly following the Effective Date, the parties will
        review and discuss revisions to their respective standard forms of
        agreement which would facilitate and encourage adoption and use of the
        Integrated Solution, provided that nothing in this Section 15.14 shall
        require either party to make any such change.

        15.15. INCONSISTENT USER AGREEMENT TERMS. If any agreement entered into
        between a User and either party grants rights broader than the rights
        granted to the Exchange or to Neoforma under this Agreement, the
        provisions in the agreement with such User shall govern with respect to
        such matters.

                                       32
<PAGE>

               IN WITNESS WHEREOF, the parties hereto have cause their duly
authorized representatives to execute this Agreement effective as of the date
set forth in the opening paragraph of this Agreement.

GLOBAL HEALTHCARE EXCHANGE, LLC           NEOFORMA, INC.

By: /s/  Mike Mahoney                     By: /s/  Robert J. Zollars
   ------------------------------            -----------------------------------
Name:                                     Name: Robert J. Zollars
Title: President                          Title: CEO
Address:                                  Address:

10385 Westmoor Drive                      3061 Zanker Road
Suite 100                                 San Jose, CA  95134
Westminster, CO  82006                    Attn: Chief Executive Officer
Attn: General Counsel                     Fax:  (408) 468-4045
Fax:  (720) 887-7200
                                          with a copy to the General Counsel at
with a copy to:                           the same address.

Sidley Austin Brown & Wood
Bank One Plaza
10 South Dearborn Street
Chicago, Illinois  60603
Attn: Jeffrey S. Rothstein
Fax:  (312) 853-7036

<PAGE>

                                   SCHEDULE A

                Current Exchange MOU's and Evaluation Agreements

-------------------------   -------------------------  -------------------------
      COMPANY NAME                COMPANY NAME               COMPANY NAME
-------------------------   -------------------------  -------------------------
*
-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

-------------------------   -------------------------  -------------------------

--------
* Confidential treatment requested

<PAGE>

                                   SCHEDULE B

Service Level Requirements to be included
in Distributor Service Level Requirements

<TABLE>
<CAPTION>
------------------------------ --------------------------------- ------------------------------------
                                                                         BASE LEVEL SERVICE
         MEASUREMENT                      DEFINITION                           TARGET
------------------------------ --------------------------------- ------------------------------------
<S>                            <C>                               <C>
System Up Time                 Percent of time Supplier          *   %
                               Connectivity Portal is            (24 hours a day, 365 days a year)
                               available to all Users,
                               excluding scheduled maintenance
------------------------------ --------------------------------- ------------------------------------
Simultaneous User Capacity     Number of Users accessing the     * user accounts by *;
                               Supplier Connectivity Portal      * user accounts by *
                               simultaneously which the Supplier
                               Connectivity Portal can support
------------------------------ --------------------------------- ------------------------------------
Total Transaction Capacity     Number of Transactions which      *  by  *;
                               the Supplier Connectivity         *  by  *
                               Portal can support annually

------------------------------ --------------------------------- ------------------------------------
Peak Time Transactions         Number of Transactions which      *  by  *;
Capacity                       the Supplier Connectivity         *  by  *
                               Portal can support in a
                               high-traffic period measuring 5
                               minutes
------------------------------ --------------------------------- ------------------------------------
Transaction Throughput         Maximum time within the           PO's from User                 *
Requirements                   Supplier Connectivity Portal      Change PO's                    *
                               for various types of              PO Acknow.                     *
                               Transactions                      Ship Notices from Supp.        *
                                                                 Invoices from Distributor      *
                                                                 Catalog, Price Files           *
------------------------------ --------------------------------- ------------------------------------
Network Connection Speed       Supplier Connectivity Portal
                               connection speed minimum                                         *
                               requirements
------------------------------ --------------------------------- ------------------------------------
</TABLE>

--------
* Confidential treatment requested

<PAGE>

                                   SCHEDULE C

                           Description of Neoforma RCS

Neoforma RCS is proprietary Neoforma Intellectual Property, together with all
related documentation, that enables rapid, robust connectivity to Distributors
by leveraging the following components:

- Existing business relationships
- Connectivity protocols processes
- Order document data maps
- Directory services and trading relationship management information
- Distributor specific business rules
- Distributor specific Service Level Agreement compliance monitoring
- Provider specific order monitoring and escalation setup (JIT, Order Deadlines)
- Customer service methodologies/escalation processes
- Proven operational Interfaces (people, process, technical understanding)
- Templates
- Set-ups
- Configurations
- Development methodologies which support Distributor connectivity

Neoforma RCS currently supports a variety of connectivity protocols (*) all
order document formats currently in use by Neoforma (*), and document
translation services (*).

--------
* Confidential treatment requested

                                       36
<PAGE>

                                   SCHEDULE D

                Rate Schedule for Additional Consulting Services

<TABLE>
<CAPTION>
------------------------------------------------- -----------------------------
Nature of Service                                       Hourly Rate*
------------------------------------------------- -----------------------------
<S>                                               <C>
------------------------------------------------- -----------------------------
Technical Program Manager                                    $*
------------------------------------------------- -----------------------------
Implementation Manager                                       $*
------------------------------------------------- -----------------------------
Architecture and Design                                      $*
------------------------------------------------- -----------------------------
Senior Applications Engineer                                 $*
------------------------------------------------- -----------------------------
Applications Engineer                                        $*
------------------------------------------------- -----------------------------
Data Mapping and Integration Manager                         $*
------------------------------------------------- -----------------------------
Data Mapping and Integration Specialist                      $*
------------------------------------------------- -----------------------------
Customer Service Manager                                     $*
------------------------------------------------- -----------------------------
Training and Support Systems                                 $*
------------------------------------------------- -----------------------------
</TABLE>

*The hourly rates set forth in this table are the rates in effect on the
Effective Date and may be increased proportionally if Neoforma or the Exchange,
as the case may be, increases the rates for consulting services it charges other
parties.

--------
* Confidential treatment requested

                                       37
<PAGE>

                                   SCHEDULE E

             Current and Pending Agreements Limiting the Exchange's
                  Ability to Recommend the Integrated Solution

Current and pending agreements with:

               *

--------
* Confidential treatment requested

                                       38<PAGE>

                                                                    EXHIBIT 10.2

CONFIDENTIAL TREATMENT REQUESTED: CERTAIN PORTIONS OF THIS DOCUMENT HAVE BEEN
OMITTED PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT AND, WHERE APPLICABLE,
HAS BEEN MARKED WITH AN ASTERISK TO DENOTE WHERE OMISSIONS HAVE BEEN MADE. THE
CONFIDENTIAL MATERIAL HAS BEEN FILED SEPARATELY WITH THE COMMISSION.

                 FIRST AMENDMENT TO SECOND AMENDED AND RESTATED
                      OUTSOURCING AND OPERATING AGREEMENT

        This First Amendment to the Second Amended and Restated Outsourcing and
Operating Agreement ("Agreement") is entered into effective as of July 1, 2001
(the "Effective Date"), by and among Neoforma, Inc., fdba Neoforma.com, Inc., a
Delaware corporation with offices at 3061 Zanker Road, San Jose, CA 95134
("Neoforma"), Novation, LLC, a Delaware limited liability company with offices
at 125 East John Carpenter Freeway, Irving, Texas 75062 ("Novation"), Healthcare
Purchasing Partners International, LLC, a Delaware limited liability company
with offices at 125 East John Carpenter Freeway, Irving, Texas 75062 ("HPPI"),
VHA Inc., a Delaware corporation with offices at 220 East Las Colinas Boulevard,
Irving, Texas 75039-5500 ("VHA"), and University HealthSystem Consortium, an
Illinois corporation with offices at 2001 Spring Road, Suite 700, Oak Brook,
Illinois 60523 ("UHC").

                                    RECITALS

WHEREAS, the parties wish to accelerate the value offered by the Exchange to
Members by expanding the scope of transactions covered by the Exchange to
include * .

WHEREAS, the parties wish to amend the Agreement as set forth below to enable
this expansion to occur.

NOW, THEREFORE, in consideration of the mutual promises made herein and other
good and valuable consideration, the receipt and adequacy of which are hereby
acknowledged, the parties hereto agree to amend the Agreement as follows:

SECTION 1. A new definition of the term "EDI STANDARDS" shall be added which
states:

"EDI STANDARDS" means, the standard format for Electronic Data Interchange (EDI)
generally accepted and used in North America, as may change from time to time.

SECTION 2. A new definition of the term "EXCHANGE INFORMATION" shall be added
which states:

"EXCHANGE INFORMATION" means the delivery of information for use by Members and
Suppliers, including but not limited to *, regarding the purchase of a Product
by a Member participating in the Exchange made through * . A Member
participating in the Exchange is a Member who has signed a Member participation
agreement with Neoforma.

* Confidential treatment requested

                                       1
<PAGE>

SECTION 3. A new definition of the term "EXCHANGE INFORMATION TRANSACTION
VALUE(s)" shall be added which states:

"EXCHANGE INFORMATION TRANSACTION VALUE(s)" means, with regard to the provision
of Exchange Information, the * relating to the Product purchased, rented or
leased.

SECTION 4. A new definition of the term "*" will be added which states

*

SECTION 5. The definition of "NOVATION EXCHANGE TRANSACTION FEE(s)" shall be
replaced in its entirety with the following:

"NOVATION EXCHANGE TRANSACTION FEE(s)" means fees to be paid by Suppliers in
respect of (i) transactions occurring on the Novation Exchange or (ii) receiving
Exchange Information, excluding fees associated with Neoforma Auction and
Neoforma Plan.

SECTION 6. The definition of "SUPPLIER(s)" shall be replaced in its entirety
with the following:

"SUPPLIER(s)" means suppliers, manufacturers or distributors that provide
Products and Materials for display, sale, rental or lease, including, without
limitation, High-Volume Suppliers pursuant to an agreement allowing
participation on the Exchange.

SECTION 7. The definition of "TRANSACTION FEE(s)" shall be replaced in its
entirety with the following:

"TRANSACTION FEE(s)" means fees to be paid by Suppliers with whom Novation has
contracted on Neoforma's behalf in respect of (i) transactions occurring on the
Exchange or (ii) receiving Exchange Information, but excluding fees associated
with the Novation Exchange, Neoforma Auction and Neoforma Plan.

SECTION 8. Section 8.1.1 shall be replaced in its entirety with the following:

Neoforma shall use its reasonable best efforts to collect all Transaction Fees
and Novation Exchange Transaction Fees required to be paid by Suppliers pursuant
to this Agreement with respect to sales, rentals and leases of Products on the
Exchange and the receipt of Exchange Information.

SECTION 9. Section 8.1.2 shall be replaced in its entirety with the following:

8.1.2 Novation * to Neoforma (the "*") on all purchases made through the
Novation Exchange and for Exchange Information. The * shall be calculated as a
percentage (the "* PERCENTAGE") of the * (i) the * (ii) the * basis as set forth
on *. Subject to Section 3.8 and Subsections 8.1.3, 8.1.5 and 8.2.4, *
calculated in accordance

* Confidential treatment requested

                                       2
<PAGE>

with this Section 8.1.2 and * in accordance with GAAP for * . (Exhibit I,
Example 1, sets forth a hypothetical calculation of * under Subsections 8.1.1
and 8.1.2.).

SECTION 10. A new Subsection 8.1.5 shall be added which states:

8.1.5 Notwithstanding anything in this Agreement to the contrary, any amount *
and, if applicable, either Subsection 8.1.3 or Subsection 8.2.4, that is
attributable to Transaction Fees in respect of Exchange Information will * ,
whichever is applicable, * (i) the * and (ii) 1.05. By way of example, if (A)
the amount * and (B) * , then (C) the * .

SECTION 11. Section 8.4 shall be replaced in its entirety with the following:

Reporting and Payment of Novation Exchange Transaction Fees and Revenue Sharing.
Within 15 days of the end of each * (in aggregated reporting for the * ),
Neoforma will provide each of Novation, VHA and UHC, with a written report
consisting of (i) aggregate Adjusted Gross Transaction Values and Exchange
Information Transaction Values for all purchases, rentals and leases of Products
through the Novation Exchange, (ii) the calculation of any Transaction Fees,
(iii) the calculation of any Novation Exchange Transaction Fees, (iv) the
calculation pursuant to the Supplier Target Percentage of the * , (v) the * , if
any, pursuant to Subsection 8.1.2, (vi) the calculation of revenue sharing
amounts under Sections 8.2, 8.9, and 8.10, (vii) the calculation of * , and
(viii) the calculation of any other fees to be paid by Neoforma hereunder.
Novation shall pay any * within 30 days after receipt of Neoforma's report. Any
report submitted by Neoforma to Novation, VHA and UHC shall include the
information set forth in Exhibit E and such other information as Novation may
reasonably request.

SECTION 12. Section 8.6 shall be replaced in its entirety with the following:

8.6 Taxes. Neoforma and Novation shall cooperate to minimize any local, state,
national and foreign taxes (including, without limitation, sales, use and VAT
taxes which may apply), licenses, export/import fees and any other fees or
similar obligations relating to any sale, rental or lease of a Contract Product
through the Exchange or relating to the Exchange Information. If in the future
any such taxes or similar obligations are required to be paid by Neoforma or
Novation in respect of Contract Products, such fees shall be shared by Neoforma
and Novation proportionately based on revenues each derives from the Exchange.
In no event shall Novation be required to share any taxes under this Section 8.6
for Products other than Products for which Novation receives Novation Exchange
Transaction Fees.

SECTION 13. Section 10.2 shall be replaced in its entirety with the following:

10.2 Transaction Database. Neoforma will create and maintain the Transaction
Database relating to all activity occurring on the Exchange and relating to
Exchange Information in accordance with the Functionality Specifications to be
mutually agreed upon. Novation and Neoforma shall only use Information in
accordance with the

* Confidential treatment requested

                                       3
<PAGE>

provisions of this Section 10. Neoforma shall at all times make all Information
available to Novation in any manner that it is, or can reasonably be, made
available.

SECTION 14. Exhibit G shall be replaced in its entirety with the following:

The * shall be determined by multiplying the * set forth below:

In determining the foregoing calculation, the *. By way of example, if in a *
for a total of $*.

SECTION 15. Exhibit I shall be replaced in its entirety with the following:

Example 1

*

Example 2

*

SECTION 16. All Other Terms Unchanged. Except as expressly modified by this
Amendment, all terms of the Agreement shall remain in full force and effect.

* Confidential treatment requested

                                       4
<PAGE>

SECTION 17. Governing Law. This Amendment shall be governed by and construed
under the internal laws of the State of New York and shall be binding upon the
parties hereto in the United States and worldwide. The federal and state courts
of New York shall have exclusive jurisdiction to adjudicate any dispute arising
out of this Amendment.

SECTION 18. Counterparts. This Second Amendment may be executed in two or more
counterparts, each of which will be deemed an original, but all of which
together will constitute one and the same instrument.

                                       5
<PAGE>

IN WITNESS WHEREOF, the parties have executed this Agreement as of the dates
written below.

NEOFORMA, INC.                      NOVATION, LLC

By:    /s/ Robert J. Zollars        By:    /s/ Mark McKenna
       ------------------------            -------------------------------------

Name:  Robert J. Zollars            Name:  Mark McKenna
       ------------------------            -------------------------------------

Title: Chief Executive Officer      Title: President

Date:  September 28, 2001           Date:  September 28, 2001
       ------------------------            -------------------------------------

VHA, INC.                           UNIVERSITY HEALTHSYSTEM CONSORTIUM

By:    /s/ Curt Nonomaque           By:    /s/ Robert J. Baker
       ------------------------            -------------------------------------

Name:  Curt Nonomaque               Name:  Robert J. Baker
       ------------------------            -------------------------------------

Title: Chief Financial Officer      Title: President and Chief Executive Officer
       ------------------------            -------------------------------------

Date:  September 28, 2001           Date:  September 28, 2001
       ------------------------            -------------------------------------

HEALTHCARE PURCHASING PARTNERS
INTERNATIONAL, LLC

By:     /s/ Mark McKenna
       --------------------------

Name:   Mark McKenna
       --------------------------

Title:  Chief Executive Officer
       --------------------------

Date:   September 28, 2001
       --------------------------

        [SIGNATURE PAGE TO FIRST AMENDMENT TO SECOND AMENDED AND RESTATED

                      OUTSOURCING AND OPERATING AGREEMENT]

                                       6

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