Document:

<PAGE>   1

                                                                   Exhibit 10.22

                              EMPLOYMENT AGREEMENT
                              --------------------

         THIS EMPLOYMENT AGREEMENT is entered into as of this 1st day of July,
2001, by and between NCS HEALTHCARE, INC., a Delaware corporation (the
"Company"), and WILLIAM B. BYRUM, an individual ("Executive").

         In consideration of and in reliance upon the covenants, obligations and
agreements herein contained, the Company and Executive hereby agree as follows:

         1. EMPLOYMENT. Subject to the terms of this Agreement, for a period of
twenty four (24) months commencing on the date hereof (the "Employment Period"),
the Company hereby agrees to employ Executive as Chief Operating Officer of the
Company, and Executive hereby accepts such employment. As such, Executive shall
report directly to the Chief Executive Officer (the "CEO") of the Company or,
with respect to restructuring matters, directly to the Company's Board of
Directors (the "Board") and shall perform such reasonable and appropriate duties
for the Company as may be assigned to him by the CEO or the Board. Throughout
the Employment Period, Executive shall devote his efforts diligently and
faithfully on a full-time basis to the business and welfare of the Company in
accordance with and in furtherance of the policies and directives of the
Company.

         2. COMPENSATION AND BENEFITS.

                  2.1 SALARY. The Company shall pay Executive a base salary
during his employment at the rate of Four Hundred Thousand Dollars ($400,000)
per year, less such deductions and withholdings as are required by law, payable
in accordance with the Company's standard payroll practices. Such annual base
salary shall be reviewed by the CEO and the Human Resources Committee of the
Board (the "Committee") at least annually during the Employment Period or within
such other period as is consistent with the Company's compensation review
program in existence from time to time. Increases in Executive's annual base
salary shall be made at the discretion of the Committee upon the recommendation
of the CEO. Base salary shall not be reduced after any such increase.

                  2.2 BONUS.

                           (a) RESTRUCTURING BONUS. For the Company's fiscal
year ending 2002, the Company shall pay Executive a restructuring bonus in the
minimum amount of One Hundred Fifty Thousand Dollars ($150,000) payable promptly
after the earlier of: (i) the close of such fiscal year provided that Executive
remains employed by the Company through the end of such fiscal year; and (ii)
the completion of a bank restructuring involving the Company (as determined by
the Committee) provided that Executive remains employed by the Company through
the date of such completion. For the subsequent fiscal year, Executive may
receive a restructuring and/or performance bonus in the amount determined at the
sole discretion of the Committee. Any bonus shall be subject to such deductions
and withholdings as are required by law.

<PAGE>   2

                           (b) RETENTION BONUS. The Company shall pay Executive
a retention bonus in the aggregate amount of Four Hundred Thousand Dollars
($400,000) payable in eight quarterly installments of Fifty Thousand Dollars
($50,000) each, commencing on September 30, 2001 and continuing on December 31,
2001, March 31, 2002, June 30, 2002, September 30, 2002, December 31, 2002,
March 31, 2003 and June 30, 2003, provided that, with respect to each such
installment, Executive remains employed by the Company through the end of the
quarter ending on the payment date, but subject to acceleration as described
below. Any installments described above that remain unpaid as of the date of a
"Change of Control" (as defined in Section 1.2 (a), (b) or (c) of the Salary
Continuation Agreement between the Company and Executive dated October 25, 2000)
as amended (the "Salary Continuation Agreement")) or a "Restructuring Event" (as
described below) shall be accelerated and be immediately due and payable to
Executive, provided as of the date of such Change in Control or Restructuring
Event, Executive remains employed by the Company or was previously terminated by
the Company pursuant to Section 4.1(e) below. For purposes of the foregoing, the
term "Restructuring Event" means the first to occur of: (i) the approval by the
Board of the consummation of a transaction or series of transactions that
involves a significant change in the debt and/or equity structure of the Company
and that is determined by the Committee to be a Restructuring Event for purposes
of this Agreement; or (ii) following the occurrence of an "Insolvency Change in
Control" (as defined in Section 1.2(d) of the Salary Continuation Agreement)
either: (A) the consummation of a transaction or series of transactions that
involves either a substantial change in the debt and/or equity structure of the
Company or the sale of all or substantially all of the Company's operating
assets; or (B) with respect to proceedings involving the Company under the
Bankruptcy Code, the confirmation of a plan of reorganization under Chapter 11,
the commencement of a case under Chapter 7, the conversion of a case under
Chapter 11 to Chapter 7, or the appointment of a trustee in the proceedings. The
retention bonus payable hereunder shall be in lieu of the retention bonus
otherwise payable to Executive on December 31, 2001. Any bonus shall be subject
to such deductions and withholdings as are required by law.

         2.3 BENEFITS. Executive shall be entitled to the medical, 401(k) and
other benefits provided by the Company to its executives or employees generally.

         2.4 EXPENSES. The Company shall reimburse Executive for reasonable
expenses incurred by him on behalf of the Company in the performance of his
services during his employment. Executive shall furnish the Company with the
documentation in connection with such expenses required by the Internal Revenue
Code of 1986, as amended (the "Code") and the regulations promulgated
thereunder.

         3. NONDISCLOSURE AND NONSOLICITATION.

                  3.1 DEFINITIONS. For purposes of this Agreement, the term "NCS
Group," "Competitor" and "Competitive Product or Service" are defined to
include:

                  (a) "NCS Group" means all business entities controlled by or
under common control with the Company.

                                       2
<PAGE>   3

                  (b) "Competitor" means any person or entity (or parent,
subsidiary or affiliate thereof) engaged in or about to become engaged in
research on, or the production, sale and/or performance of, any Competitive
Product or Service in the United States.

                  (c) "Competitive Product or Service" means a product or
service which is competitive with a product or service manufactured, sold or
performed by the NCS Group, or with respect to which the NCS Group has conducted
research and created a business plan, during the three (3) years immediately
preceding termination of Executive's employment with the Company.

         3.2 NONCOMPETITION. During the Employment Period, and for a period of
eighteen (18) months following the termination for any reason of Executive's
employment with the Company (whether by expiration of the Employment Period or
otherwise), without the prior written consent of the Company, Executive will not
directly or indirectly render services to, act as an officer, director, partner,
consultant, agent or employee of, or otherwise assist or operate as a Competitor
in the institutional pharmacy business. During the pendency of this
noncompetition covenant, Executive will immediately notify the Company of any
change of his address and the name and address of any subsequent employer.
Nothing in this Section 3.2 shall prevent Executive from being a member or
officer of or from participating in the activities of any trade or professional
association, from rendering services to a Competitor strictly as a non-employee
financial (not operational) consultant, broker or investment banker in one or
more transactions involving the sale or purchase of some or all of the
Competitor's stock or assets, or from acquiring any equity in the Company or of
less than one percent (1%) in a Competitor whose shares are traded on a national
securities exchange or over-the-counter.

         3.3 NONSOLICITATION. During the Employment Period, and for a period of
eighteen (18) months following the termination for any reason of Executive's
employment with the Company (whether by expiration of the Employment Period or
otherwise), Executive will not directly or indirectly, without prior written
approval of the Company, solicit, cause to be solicited or aid in soliciting,
any of the NCS Group's (i) customers as of the date of termination for the
purpose of selling to such customers Competitive Products or Services or (ii)
employees as of the date of termination for the purpose of hiring any such
employees as an agent, consultant, employee or otherwise of another employer.

         3.4 NONDISCLOSURE. Executive agrees that he shall not, at any time,
directly or indirectly, disseminate verbally or in writing or use for his
personal benefit, any Confidential Information, regardless of how it may have
been acquired, except for the disclosure of such information as may be necessary
for Executive to perform his duties hereunder, as required by law or otherwise
as authorized in writing by an officer of the Company. Executive further agrees,
that, upon termination of his employment, he will return promptly to the Company
all memoranda, notes, records, reports, manuals and other documents (and all
copies thereof) relating to the NCS Group's business which he may then possess
or have under his control. For purposes of this Agreement, "Confidential
Information" means all information relating to the terms and conditions of this
Agreement and all information belonging to, used by, or which is in the
possession of, the NCS Group relating to the NCS Group's business, products,
services, strategies, pricing, customers, representatives, suppliers,
distributors, technology, programs, finances, costs, employee compensation,
marketing plans, development plans, computer software

                                       3
<PAGE>   4

(including all operating system and systems application software), inventions,
developments or trade secrets, all to the extent such information is not
intended by the NCS Group to be disseminated to the public or to other
participants in its trade or business or is otherwise not generally known to
Competitors. Executive acknowledges that all of the Confidential Information is
and shall continue to be the exclusive proprietary property of the NCS Group,
whether or not prepared in whole or in part by Executive and whether or not
disclosed to or entrusted to the custody of Executive.

         3.5 REMEDIES. If Executive commits or threatens to commit a breach of
any of the provisions of this Section 3, the Company shall have the right to
have the provisions of this Agreement specifically enforced by any court having
jurisdiction, it being acknowledged by Executive and agreed by the parties that
any such breach or threatened breach will cause injury to the Company for which
money damages alone will not provide an adequate remedy. Therefore, if Executive
threatens to violate or violates any provisions of this Section 3, Executive
agrees that, in addition to its other remedies, the Company is entitled to
injunctive relief, including, but not limited to, temporary restraining orders
and/or preliminary or permanent injunctions to restrain or enjoin any violation
or threatened violation of this Agreement without having to post any bond. The
rights and remedies enumerated above shall be in addition to, and not in lieu
of, any other rights and remedies available to the Company at law or in equity.

         3.6 REFORMATION OF AGREEMENT. If any of the covenants contained in this
Section 3, or any portion thereof, are found by a court of competent
jurisdiction to be invalid or unenforceable as against public policy or for any
other reason, such court shall exercise its discretion to reform such covenant
to the end that Executive shall be subject to nondisclosure, noncompetition and
nonsolicitation covenants that are reasonable under the circumstances and are
enforceable by the Company. In any event, if any provision of this Agreement is
found unenforceable for any reason, such provision shall remain in force and
effect to the maximum extent allowable and all nonaffected provisions shall
remain fully valid and enforceable.

         3.7 EXTENSION OF COVENANTS. If a court of competent jurisdiction finds
that Executive has violated any of the restrictions or covenants contained in
this Section 3, then the parties agree that the period of all restrictions and
covenants set forth in Section 3 automatically shall be extended by the number
of days that the court determines Executive to have been in violation of such
restriction or covenant.

         3.8 REASONABLENESS OF TERMS. Both the Company and Executive stipulate
and agree that covenants and other terms contained in this Section 3 are
reasonable in all respects, including time period, geographical area and scope
of restricted activities (it being acknowledged that the Company's business is
being carried on within a rapidly consolidating industry), and that the
restrictions contained herein are designed to protect the NCS Group's business
and ensure that Executive does not engage in unfair competition with the NCS
Group.

         4. TERMINATION.

                  4.1 MANNER OF TERMINATION. This Agreement may be terminated
prior to the end of the Employment Period as follows:

                                       4
<PAGE>   5

                  (a) BY THE COMPANY FOR DISABILITY. At the option of and by
written notice from the Company, if Executive shall become disabled, which, for
purposes of this Agreement, shall be deemed to have occurred if Executive
suffers from any disability or impairment of health which continues for at least
one hundred twenty (120) consecutive days or one hundred twenty (120) days in
any twelve (12) month period and which, in the opinion of the Company, renders
the Executive unable to perform his duties on an active, full-time basis.

                  (b) BY THE COMPANY FOR GOOD CAUSE. At the option of and by
written notice from the Company, if the Company shall find "good cause" for
termination, which, for purposes of this Agreement, shall mean (i) a material
breach by Executive of his obligations under Section 3 of this Agreement or his
fiduciary obligations to the Company, (ii) commission by Executive of a felony
or any offense involving misappropriation of money or property, (iii) repeated
absenteeism, (iv) illegal drug use or excessive alcohol consumption on the part
of Executive, or (v) if Executive repeatedly fails, after notice and a
reasonable chance to cure, to observe the reasonable directives of the Board of
Directors of the Company or their designee to whom Executive reports.

                  (c) BY EXECUTIVE. By executive upon not less than ninety (90)
days notice.

                  (d) DEATH. As of the end of the month in which Executive dies.

                  (e) BY THE COMPANY. By the Company for any reason other than
those set forth in Sections 4.1(a), (b) and (d) upon not less than ninety (90)
days notice.

                  4.2 CONSEQUENCES OF TERMINATION. The provisions of Section 3
will survive termination of this Agreement. In addition, all rights of the
parties to seek damages and other relief for breaches of this Agreement
occurring prior to or on account of the termination hereof by the other of this
Agreement will survive termination. In addition, if Executive's employment is
terminated by the Company pursuant to Section 4.1(a) above, Executive shall be
entitled to continue to receive his annual base salary and, to the extent
eligible for participation, to receive benefits under Section 2.3 above for a
period equal to the longer of (i) eighteen (18) months, or (ii) the number of
months remaining in the Employment Period (less than amounts available to
Executive under the Company's then current short-term and long-term disability
policies). Except as set forth in this Section 4.2, and Sections 2.2(b), 4.3 and
4.4, all rights and obligations of the parties hereunder will expire upon
termination of this Agreement.

         4.3 SEVERANCE BENEFITS. In addition to any other compensation or
benefit payable to Executive hereunder, if , at any time during the Employment
Period, (a) Jon Outcalt and Kevin Shaw cease to own or otherwise control, in the
aggregate, at least fifty percent (50%) of the voting control of the Company (as
a result of a sale, exchange or other transfer or as a result o f a merger,
consolidation, reorganization or other transaction), (b) the scope of Chief
Operating Officer's responsibilities are materially changed after the adoption
of this Agreement, or (c) Executive' s employment with the Company is terminated
by the Company pursuant to Section 4.1(e) above, Executive shall be entitled, as
a severance benefit, to continue to receive his annual

                                       5
<PAGE>   6

base salary and benefits under Section 2.3 above for a period equal to the
longer of (i) eighteen (18) months, or (ii) the number of months remaining in
the Employment Period. The Salary Continuation Agreement is hereby incorporated
into this Agreement by reference and, in the event payments are made pursuant to
Section 3 thereof, there shall be no payments made under the preceding sentence.

         4.4 SECTION 280G LIMITATION. If the aggregate present value of all
payments made or payable to Executive, whether pursuant to this Agreement or
otherwise, required to be taken into account under Section 280G(b)(2)(A)(I) and
(ii) of the Code equals or exceeds three times Executive's "base amount", as
defined in Section 280G of the Code, then the amounts payable under this
Agreement or the amounts payable under the Salary Continuation Agreement shall
be reduced, but not below zero, so that the aggregate present value of all such
payments computed in accordance with Section 280G of the Code made or payable to
Executive, whether pursuant to this Agreement or otherwise, is equal to (A)
three times Executive's "base amount" as defined in Section 280G of the Code
minus (B) one dollar.

         5. MISCELLANEOUS.

         5.1 WAIVER. Failure of the Company at any time to enforce any provision
of this Agreement or to require performance by Executive of any provision hereof
shall in no way affect the validity of this Agreement or any part hereof or the
right of the Company thereafter to enforce its rights hereunder; nor shall it be
taken to constitute a condemnation or waiver by the Company of that default or
any other or subsequent default or breach.

         5.2 NOTICES. All notices or other communications hereunder shall not be
binding on either party hereto unless in writing and delivered to the other
party hereto at the following address:

                   If to the Company:        NCS HEALTHCARE, INC.
                                             3201 Enterprise Parkway, Suite 220
                                             Beachwood, Ohio   44122
                                             Attn:  Chief Financial Officer

                   If to Executive:          William B. Byrum
                                             10049 Oak Ridge Drive
                                             Zionsville, Indiana   46077

         Notices shall be deemed duly delivered upon hand delivery thereof at
the above addresses or two (2) days after deposit thereof in the United States
mails, postage prepaid, certified or registered mail. Any notice delivered in
any other manner shall be effective upon receipt. Either party may changes its
address for notice by delivery of written notice thereof in the manner provided.

                                       6
<PAGE>   7

         5.3 ASSIGNMENT. No rights of any kind under this Agreement shall,
without prior written consent of the Company, be transferable to or assignable
by Executive or any other person, or be subject to alienation, encumbrance,
garnishment, attachment, execution or levy of any kind, voluntary or
involuntary. This Agreement shall be binding upon and shall inure to the benefit
of the Company, its successors and assigns.

         5.4 GOVERNING LAW. This Agreement shall be governed by and construed in
accordance with the laws of the State of Ohio without regard for the conflicts
of laws provisions thereof.

         5.5 COUNTERPARTS. This Agreement may be executed in multiple
counterparts, each of which shall be deemed an original and all of which
together shall constitute one and the same document.

         5.6 HEADINGS. The headings in this Agreement are intended solely for
convenience of reference and shall be given no effect in the construction or
interpretation of this Agreement.

         5.7 ENTIRE AGREEMENT. THE PARTIES HERETO ACKNOWLEDGE THAT THEY HAVE
READ THIS AGREEMENT, UNDERSTAND IT, AND AGREE TO BE BOUND BY ITS TERMS. This
Agreement constitutes the entire understanding and agreement between the parties
hereto concerning the subject matter hereof. All negotiations by the parties
hereto concerning the subject matter hereof are merged into this Agreement and
there are no representations, warranties, covenants, understandings or
agreements, oral or otherwise, in relation thereto by the parties hereto other
than those incorporated herein. No supplement, modification or amendment of this
Agreement shall be binding unless executed in writing by the parties hereto.
This Agreement supercedes all prior agreements and arrangements (oral or
written) regarding the subject matter hereof, including, specifically, the
Employment Agreement, dated December 20, 1999 between the Company and Executive
(the "Prior Agreement"), which Prior Agreement is hereby terminated by the
mutual agreement of the Company and Executive.

         INTENDING TO BE LEGALLY BOUND, the parties or their duly authorized
representatives have signed this Agreement as of the date first above written.

                                             NCS HEALTHCARE, INC.

                                             By:
                                                --------------------------------
                                             Title:
                                                   -----------------------------

                                             EXECUTIVE

                                             -----------------------------------
                                                      William B. Byrum

                                       7<PAGE>   1

                                                                   Exhibit 10.23

                                  AMENDMENT TO

                          SALARY CONTINUATION AGREEMENT

                            JON OUTCALT ("EMPLOYEE")

         THIS Amendment to the Salary Continuation Agreement ("Agreement") is
made as of this 21 day of August, 2001 by and between NCS HealthCare, Inc., an
Ohio corporation (hereinafter referred to as the "Company"), and the above named
Employee.

         WHEREAS, the Board of Directors of the Company (the "Board") previously
determined that it is in the best interests of the Company and its shareholders
to assure that the Company will have the continued dedication of the Employee,
notwithstanding the possibility, threat, or occurrence of a Change of Control of
the Company; and

         WHEREAS, the Board believes it is imperative to provide the Employee
with compensation arrangements upon a Change of Control which provide the
Employee with individual financial security and which are competitive with those
of other corporations; and

         WHEREAS, in order to accomplish these objectives, the Board caused the
Company to enter into the Agreement with the Employee dated as of the 29 day of
September, 2000; and

         WHEREAS, the Board believes that in order to assure the Employee's full
attention and dedication to the Company currently and in the event of any change
of control which would involve the bankruptcy or insolvency of the Company, it
is necessary to amend certain provisions of the Agreement, including extending
the term of the compensation arrangements and amending the definition of Change
of Control.

         NOW, THEREFORE, in consideration of the mutual covenants set forth
herein and other good and valuable consideration, the receipt and adequacy of
which is hereby acknowledged, the parties hereto agree as follows:

         1.       Section 1.2 shall be amended by the addition of the following
                  new Section 1.2(d):

                  (d)      The adjudication of the Company as a debtor or the
                           Company having entered against it an order for relief
                           under Title 11 of the United States Code, as the same
                           may be amended from time to time; the Company's
                           filing of a voluntary petition in bankruptcy or the
                           Company's filing of a petition or an answer seeking
                           reorganization or an arrangement with creditors or
                           seeking to take advantage of any other law (whether
                           federal or state) relating to relief of debtors, or
                           the

<PAGE>   2

                           Company's admission (by answer, by default or
                           otherwise) the material allegations of a petition
                           filed against it in any bankruptcy, reorganization,
                           insolvency or other proceeding (whether federal or
                           state) relating to relief of debtors; or the
                           Company's suffering or permitting to continue
                           unstayed and in effect for thirty (30) consecutive
                           days any judgment, decree or order entered by a court
                           of competent jurisdiction, which approves a petition
                           seeking its reorganization or appointment of a
                           receiver, custodian, trustee, interim trustee or
                           liquidator of all or a substantial part of its assets
                           (any and all of the foregoing shall hereinafter be
                           referred to as an "Insolvency Change of Control").

         2.       Section 3.1 is amended to read as follows:

                  WITHOUT CAUSE. If, at any time prior to the earlier of (i) the
                  date that is twelve (12) months subsequent to the Effective
                  Date, or (ii) the Employee's Normal Retirement Date (the
                  "Salary Continuation Period"), the Company shall terminate the
                  Employee's employment other than for Cause, Disability, or
                  death or if the Employee shall terminate his employment for
                  Good Reason ("Without Cause Termination"):

                  (a)      The Company shall continue pay to the Employee in
                           accordance with its normal payroll practices the
                           Employee's base salary at an annual rate equal to the
                           greater of the Employee's (i) highest monthly base
                           salary paid or payable by the Company during the
                           twelve-month period immediately preceding the
                           Effective Date, or (ii) the highest monthly salary
                           paid or payable by the Company at any time from the
                           90-day period preceding the Effective Date through
                           the Date of Termination (the "Highest Base Salary"),
                           for the shorter of (x) twenty-four (24) months
                           following the Date of Termination, or (y) until the
                           Employee's Normal Retirement Date (the "Salary
                           Continuation Period").

                  (b)      For the remainder of the Salary Continuation Period,
                           or such longer period as any plan, program, practice
                           or policy may provide, the Company shall continue to
                           provide health insurance, life insurance and
                           retirement benefits to the Employee and/or the
                           Employee's family at least equal to those which would
                           have been provided to them if the Employee's
                           employment had not been terminated, in accordance
                           with the most favorable plans, practices, programs or
                           policies of the Company and its subsidiaries during
                           the 90-day period immediately preceding the Effective
                           Date or, if more favorable to the Employee, as in
                           effect at any time thereafter with respect to other
                           key employees and their families and for purposes of
                           eligibility for retirement benefits pursuant to such
                           plans, practices, programs and policies, the Employee
                           shall be considered to have remained employed until
                           the end of the Salary Continuation Period and to have
                           retired on the last day of such period.
                           Notwithstanding the foregoing, the Employee shall
                           have no right to participate in any bonus plan of the
                           Company subsequent to the Date of Termination.

         3.       Section 3 is amended by the addition of the following new
                  Sections 3.5 at the end thereof:

                                       2
<PAGE>   3

                  3.5      WITHOUT CAUSE FOLLOWING INSOLVENCY CHANGE OF CONTROL.

                  (a)      Notwithstanding anything herein to the contrary, in
                           the event of an Insolvency Change of Control: (i) if
                           the Employee incurs a Without Cause Termination prior
                           to the earlier of (A) the date that is twenty-four
                           (24) months subsequent to the Effective Date or (B)
                           the Employee's Normal Retirement Date, or (ii) if the
                           Employee incurs a Without Cause termination at any
                           time during the pendency of the case constituting the
                           Insolvency Change of Control, the Company shall pay
                           to the Employee a lump sum amount equal to his
                           "Highest Base Salary" multiplied by twenty-four (24)
                           months (the "Insolvency Salary Continuation Period").
                           Such lump sum distribution shall be subject to
                           employment and income tax withholding and shall be
                           paid as soon as practicable following the Employee's
                           Date of Termination.

                  (b)      For the remainder of the Insolvency Salary
                           Continuation Period, or such longer period as any
                           plan, program, practice or policy may provide, the
                           Company shall continue to provide health insurance,
                           life insurance and retirement benefits to the
                           Employee and/or the Employee's family at least equal
                           to those which would have been provided to them if
                           the Employee's employment had not been terminated, in
                           accordance with the most favorable plans, practices,
                           programs or policies of the Company and its
                           subsidiaries during the 90-day period immediately
                           preceding the Effective Date or, if more favorable to
                           the Employee, as in effect at any time thereafter
                           with respect to other key employees and their
                           families and for purposes of eligibility for
                           retirement benefits pursuant to such plans,
                           practices, programs and policies, the Employee shall
                           be considered to have remained employed until the end
                           of the Insolvency Salary Continuation Period and to
                           have retired on the last day of such period.
                           Notwithstanding the foregoing, the Employee shall
                           have no right to participate in any bonus plan of the
                           Company subsequent to the Date of Termination.

         4.       Section 7 is amended by the addition of the following new
                  Section 7(h) at the end thereof:

                  (h)      Payment of salary continuation benefits pursuant to
                           any provision of this Agreement shall not be
                           duplicated under any other provision of this
                           Agreement.

Capitalized terms not defined herein shall have the meanings described to them
in the Agreement.

All other provisions of the Agreement shall remain unchanged.

                                       3
<PAGE>   4

         IN WITNESS WHEREOF, the parties hereto have executed or caused to be
executed this Amendment to be effective on the day and year first above written.

EMPLOYEE                            NCS HEALTHCARE, INC.

-------------------------           --------------------------------------
Jon Outcalt                         Kevin B. Shaw,
                                    President and Chief Executive Officer

                                       4

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00030-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00030-of-00352.parquet"}]]