Document:

Sixth Supplemental Indenture

 Exhibit 4.1 

OMNICARE, INC., 

Issuer 
 Each of
the Guarantors Named Herein 
 and 

U.S. BANK NATIONAL ASSOCIATION 

(as successor to SunTrust Bank), 

Trustee 
  

 
 SIXTH
SUPPLEMENTAL INDENTURE 
 Dated as of May 18, 2010 

to 
 INDENTURE

 Dated as of June 13, 2003 
  

 
 7.75% Senior
Subordinated Notes Due June 1, 2020 

 TABLE OF CONTENTS 

 

					
	 	 	Page
	
	ARTICLE I
	
	DEFINITIONS
			
	Section 1.01.	 	Definitions	 	1
	Section 1.02.	 	Other Definitions	 	23
	
	ARTICLE II
	
	THE NOTES
			
	Section 2.01.	 	Title	 	24
	Section 2.02.	 	Aggregate Initial Principal Amount	 	24
	Section 2.03.	 	Form	 	24
	Section 2.04.	 	Payment on Global Securities	 	24
	Section 2.05.	 	Amendment to Section 2.08	 	24
	
	ARTICLE III
	
	REDEMPTION
			
	Section 3.01.	 	Optional Redemption	 	24
	Section 3.02.	 	Mandatory Redemption	 	25
	Section 3.03.	 	Selection and Notice	 	25
	Section 3.04.	 	Offer to Purchase by Application of Excess Proceeds	 	25
	
	ARTICLE IV
	
	ADDITIONAL COVENANTS
			
	Section 4.01.	 	Restricted Payments	 	27
	Section 4.02.	 	Dividend and Other Payment Restrictions Affecting Restricted Subsidiaries	 	31
	Section 4.03.	 	Incurrence of Indebtedness and Issuance of Preferred Stock	 	32
	Section 4.04.	 	Asset Sales	 	36
	Section 4.05.	 	Transactions with Affiliates	 	38
	Section 4.06.	 	Liens	 	39
	Section 4.07.	 	Offer to Repurchase Upon Change of Control	 	39
	Section 4.08.	 	No Senior Subordinated Debt	 	40
	Section 4.09.	 	Additional Subsidiary Guarantees	 	40
	Section 4.10.	 	Activities of Purchasing	 	40
	Section 4.11.	 	Designation of Restricted and Unrestricted Subsidiaries	 	40
	Section 4.12.	 	Covenant Removal	 	41
	Section 4.13.	 	Reports	 	41

  

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	 	 	Page
	
	ARTICLE V
	
	SUCCESSOR CORPORATION
			
	Section 5.01.	 	Merger, Consolidation or Sale of Assets	 	41
	Section 5.02.	 	Successor Corporation Substituted	 	42
	
	ARTICLE VI
	
	DEFAULTS
			
	Section 6.01.	 	Events of Default	 	43
	Section 6.02.	 	Acceleration	 	44
	Section 6.03.	 	Applicability of Certain Other Provisions	 	44
	Section 6.04.	 	Notice	 	45
	
	ARTICLE VII
	
	AMENDMENT, SUPPLEMENT AND WAIVER
			
	Section 7.01.	 	Applicability of Certain Provisions	 	45
	
	ARTICLE VIII
	
	NO SINKING FUND
			
	Section 8.01.	 	Applicability of Certain Provisions	 	46
	
	ARTICLE IX
	
	LEGAL DEFEASANCE AND COVENANT DEFEASANCE
			
	Section 9.01.	 	Applicability of Certain Provisions	 	47
	
	ARTICLE X
	
	SUBSIDIARY GUARANTEES
			
	Section 10.01.	 	Subsidiary Guarantees	 	48
	Section 10.02.	 	Subsidiary Guarantors May Consolidate, etc., on Certain Terms	 	48
	Section 10.03.	 	Releases	 	48
	Section 10.04.	 	Amendment to Section 12.03	 	49
	
	ARTICLE XI
	
	SATISFACTION AND DISCHARGE
			
	Section 11.01.	 	Applicability of Certain Provisions	 	49

  

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	 	 	Page
	
	ARTICLE XII
	
	SUBORDINATION
			
	Section 12.01.	 	Applicability of Certain Provisions	 	50
	
	ARTICLE XIII
	
	MISCELLANEOUS
			
	Section 13.01.	 	Scope of this Sixth Supplemental Indenture	 	50
	Section 13.02.	 	Ratification of Indenture	 	50
	Section 13.03.	 	Trustee Not Responsible for Recitals	 	50
	Section 13.04.	 	Separability	 	50
	Section 13.05.	 	Counterparts	 	50
	Section 13.06.	 	GOVERNING LAW	 	50
	
	EXHIBIT A:    Form of Note
	EXHIBIT B:    Form of Supplemental Indenture to be Delivered by Subsequent Guarantors

 

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 SIXTH SUPPLEMENTAL INDENTURE dated as of May 18, 2010 (the “Sixth
Supplemental Indenture”) between Omnicare, Inc., a corporation duly organized and existing under the laws of the State of Delaware (the “Company”), the Guarantors (as defined below) and U.S. Bank National Association (as
successor to SunTrust Bank), as trustee (the “Trustee”). 
 WHEREAS, the Company has executed and delivered to
the Trustee an Indenture dated as of June 13, 2003 (the “Base Indenture”) providing for the issuance from time to time of one or more series of the Company’s debt securities; 

WHEREAS, Section 2.01 of the Base Indenture provides that the Company and the Trustee may enter into an indenture supplemental to
the Base Indenture to establish the form or terms of Securities of any series as permitted by Section 2.01 and Section 9.01 of the Base Indenture; and 

WHEREAS, the Company entered into a First Supplemental Indenture to establish the form and terms of its
6 1/8% Senior Subordinated Notes due June 1,
2013; 
 WHEREAS, the Company entered into a Second Supplemental Indenture to establish the form and terms of its 4%
Junior Subordinated Convertible Debentures Due June 15, 2033; 
 WHEREAS, the Company entered into a Third Supplemental
Indenture to establish the form and terms of its Series B 4% Junior Subordinated Convertible Debentures due June 15, 2033; 

WHEREAS, the Company entered a Fourth Supplemental Indenture to establish the form and terms of its
6 3/4% Senior Subordinated Notes due
December 15, 2013; 
 WHEREAS, the Company entered into a Fifth Supplemental Indenture to
establish the form and terms of its 6 7/8% Senior
Subordinated Notes due December 15, 2015; and 
 WHEREAS, the Company is entering into this Sixth Supplemental
Indenture to establish the form and terms of its 7.75% Senior Subordinated Notes due June 1, 2020 (the “2020 Notes” or the “Notes”). 

NOW THEREFORE, in consideration of the premises and covenants contained herein, it is hereby agreed as follows: 

ARTICLE I 

DEFINITIONS 

Section 1.01. Definitions. Each term used herein which is defined in the Indenture has the meaning assigned to such term in
the Base Indenture unless otherwise specifically defined herein, in which case the definition set forth herein shall govern. The following terms, as used herein, have the following meanings: 

“4.00% Convertible Subordinated Debentures due 2033” means the $345 million in aggregate principal amount of 4.00%
Convertible Subordinated Debentures due 2033 issued by the Company on June 13, 2003 and Series B 4.00% Convertible Subordinated Debentures due 2033 issued by the Company on March 8, 2005 relating to the Trust PIERS. 

“6.125% Notes” means the $250 million in aggregate principal amount of 6.125% Senior Subordinated Notes due 2013
originally issued by the Company on June 13, 2003. 

 “6.750% Notes” means the $225 million in aggregate principal amount of
6.750% Senior Subordinated Notes due 2013 originally issued by the Company on December 15, 2005. 
 “6.875%
Notes” means $525 million aggregate principal amount of 6.875% Senior Subordinated Notes due 2015 originally issued by the Company on December 15, 2005. 

“3.25% Convertible Senior Debentures due 2035” means the $850 million in aggregate principal amount of 3.25% Convertible
Senior Debentures due 2035 issued by the Company on December 15, 2005 and guaranteed solely by Purchasing, plus $127.5 million in aggregate principal amount issued upon exercise of the underwriters’ overallotment option. 

“Acquired Debt” means, with respect to any specified Person: 

 

	 	(1)	Indebtedness of any other Person existing at the time such other Person is merged with or into or became a Restricted Subsidiary of such specified Person, whether or
not such Indebtedness is incurred in connection with, or in contemplation of, such other Person merging with or into, or becoming a Restricted Subsidiary of, such specified Person; and 

 

	 	(2)	Indebtedness secured by a Lien encumbering any asset acquired by such specified Person (limited to the maximum amount of liability of the specified Person with respect
to such Lien). 

 “Affiliate” of any specified Person means any other Person directly or
indirectly controlling or controlled by or under direct or indirect common control with such specified Person. For purposes of this definition, “control,” as used with respect to any Person, means the possession, directly or indirectly, of
the power to direct or cause the direction of the management or policies of such Person, whether through the ownership of voting securities, by agreement or otherwise; provided that beneficial ownership of 10% or more of the Voting Stock of a
Person will be deemed to be control. For purposes of this definition, the terms “controlling,” “controlled by” and “under common control with” have correlative meanings. 

“Applicable Redemption Premium” means, with respect to any Note on any redemption date, the excess of 

 

	 	(1)	the present value at such redemption date of the redemption price of such Note if such Note were redeemed on June 1, 2015, plus all required interest payments due
on such Note through June 1, 2015, computed using a discount rate equal to the Treasury Rate at such redemption date plus 50 basis points, over 

  

	 	(2)	the then-outstanding principal amount of the Note. 

“Asset Sale” means: 
  

	 	(1)	the sale, lease, conveyance or other disposition by the Company or any of its Restricted Subsidiaries of any assets, other than sales of products and services in the
ordinary course of business consistent with past practices; provided that the sale, conveyance or other disposition of all or substantially all of the assets of the Company and its Restricted Subsidiaries taken as a whole will be governed by
Section 4.07 and/or Section 5.01 of this Sixth Supplemental Indenture and not by the provisions of Section 4.04 of this Sixth Supplemental Indenture; and 

 

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	 	(2)	the issuance of Equity Interests (other than directors’ qualifying shares) by any Restricted Subsidiary or the sale of Equity Interests in any Restricted
Subsidiary. 

 Notwithstanding the preceding, the following items will not be deemed to be Asset Sales:

  

	 	(1)	any single transaction or series of related transactions that involves assets having a fair market value of less than $50.0 million; 

 

	 	(2)	a transfer of assets between or among the Company and one or more Restricted Subsidiaries; 

 

	 	(3)	an issuance of Equity Interests by a Restricted Subsidiary to the Company or to another Restricted Subsidiary; 

 

	 	(4)	the sale, lease, assignment, sublease, or other disposition of equipment, inventory, accounts receivable or other assets in the ordinary course of business;

  

	 	(5)	the sale or other disposition of cash or Cash Equivalents; 

  

	 	(6)	a Restricted Payment or Permitted Investment that is permitted by Section 4.01 of this Sixth Supplemental Indenture; 

 

	 	(7)	the sale and leaseback of any assets within 180 days of the acquisition of such assets; 

 

	 	(8)	a sale or other disposition of accounts receivable and related assets in connection with a financing transaction involving such assets (including, without limitation,
in connection with a securitization or similar financing); 

  

	 	(9)	any disposition of property in the ordinary course of business by the Company or any Restricted Subsidiary that, in the good faith judgment of management of the
Company, has become obsolete, worn out, damaged or no longer useful in the conduct of the business of the Company or the Restricted Subsidiaries; 

  

	 	(10)	any Asset Swap; 

  

	 	(11)	any sale of securities constituting Equity Interests that are issued by a subsidiary trust or similar financing vehicle in a transaction permitted under
Section 4.03 of this Sixth Supplemental Indenture; 

  

	 	(12)	any loans or other transfers of equipment to customers of the Company or any Restricted Subsidiary in the ordinary course of business for use with the products or
services of the Company or any Restricted Subsidiary; 

  

	 	(13)	the sale or issuance of a minimal number of Equity Interests in a Restricted Subsidiary that is a foreign entity to a foreign national to the extent required by local
law or in a jurisdiction outside of the United States; 

  

	 	(14)	the discount or forgiveness of accounts receivable in the ordinary course of business in connection with the collection or compromise thereof; 

 

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	 	(15)	licenses and sublicenses by the Company or any of its Restricted Subsidiaries of software or intellectual property in the ordinary course of business or consistent with
past practice; 

  

	 	(16)	the sale, transfer or other disposition of Hedging Obligations incurred pursuant to Section 4.03 of this Sixth Supplemental Indenture; 

 

	 	(17)	sales of assets received by the Company or any of its Restricted Subsidiaries upon the foreclosure on a Lien; and 

 

	 	(18)	the disposition of Receivables and Related Assets in a Qualified Securitization Transaction. 

“Asset Swap” means an exchange by the Company or any Restricted Subsidiary of property or assets for property or assets
of another Person; provided that (i) the Company or the applicable Restricted Subsidiary, as the case may be, receives consideration at the time of such exchange at least equal to the fair market value of the assets or other property
sold, issued or otherwise disposed of (as evidenced by a resolution of the Company’s Board of Directors), and (ii) at least 70% of the consideration received in such exchange constitutes assets or other property of a kind usable by the
Company and its Restricted Subsidiaries in a Permitted Business; provided, further that any cash and Cash Equivalents received by the Company or any of its Restricted Subsidiaries in connection with such an exchange shall constitute
Net Proceeds subject to the provisions of Section 4.04 of this Sixth Supplemental Indenture. 
 “Beneficial
Owner” has the meaning assigned to such term in Rule 13d-3 and Rule 13d-5 under the Exchange Act, except that in calculating the beneficial ownership of any particular “person” (as that term is used in Section 13(d)(3) of the
Exchange Act), such “person” will be deemed to have beneficial ownership of all securities that such “person” has the right to acquire by conversion or exercise of other securities, whether such right is currently exercisable or
is exercisable only upon the occurrence of a subsequent condition. The terms “Beneficially Owns” and “Beneficially Owned” have a corresponding meaning. 

“Board of Directors” means: 
  

	 	(1)	with respect to a corporation, the board of directors of the corporation (or any duly authorized committee thereof); 

 

	 	(2)	with respect to a partnership, the Board of Directors (or any duly authorized committee thereof) of the general partner of the partnership; 

 

	 	(3)	with respect to a limited liability company, the managing member or members or any controlling committee of managing members thereof; and 

 

	 	(4)	with respect to any other Person, the board or committee of such Person serving a similar function. 

“Capital Lease Obligation” means, at the time any determination is to be made, the amount of the liability in respect of
a capital lease that would at that time be required to be capitalized on a balance sheet in accordance with GAAP. 

“Capital Stock” means: 
  

	 	(1)	in the case of a corporation, corporate stock; 

  

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	 	(2)	in the case of an association or business entity, any and all shares, interests, participations, rights or other equivalents (however designated) of corporate stock;

  

	 	(3)	in the case of a partnership or limited liability company, partnership or membership interests (whether general or limited); and 

 

	 	(4)	any other interest or participation that confers on a Person the right to receive a share of the profits and losses of, or distributions of assets of, the issuing
Person. 

 “Cash Equivalents” means: 

 

	 	(1)	United States dollars; 

  

	 	(2)	securities constituting direct obligations of the United States or any agency or instrumentality of the United States, the payment or guarantee of which constitutes a
full faith and credit obligation of the United States, maturing in three years or less from the date of acquisition thereof; 

  

	 	(3)	securities constituting direct obligations of any State or municipality within the United States maturing in three years or less from the date of acquisition thereof
which, in any such case, at the time of acquisition by the Company or any Restricted Subsidiary, is accorded one of the two highest long-term or short-term, as applicable, debt ratings by S&P or Moody’s or any other United States nationally
recognized credit rating agency of similar standing; 

  

	 	(4)	certificates of deposit with a maturity of one year or less or bankers’ acceptances issued by a bank or trust company having capital, surplus and undivided profits
aggregating at least $500.0 million and having a short-term unsecured debt rating of at least “P-1” by Moody’s or “A-1” by S&P; 

 

	 	(5)	eurodollar time deposits with maturities of one year or less and overnight bank deposits with any bank or trust company having capital, surplus and undivided profits
aggregating at least $500.0 million and having a short-term unsecured debt rating of at least “P-1” by Moody’s or “A-1” by S&P; 

 

	 	(6)	repurchase obligations with a term of not more than thirty days for underlying securities of the types described in clauses (2), (3), (4) and (5) above
entered into with any financial institution meeting the qualifications specified in such clauses above; 

  

	 	(7)	commercial paper maturing in 365 days or less from the date of issuance which, at the time of acquisition by the Company or any Restricted Subsidiary, is accorded a
rating of “A2” or better by S&P or “P2” or better by Moody’s or any other United States nationally recognized credit rating agency of similar standing; and 

 

	 	(8)	any fund or other pooling arrangement at least 95% of the assets of which constitute Investments described in clauses (1) through (7) of this definition.

 “Change of Control” means the occurrence of any of the following: 

 

	 	(1)	 the direct or indirect sale, transfer, conveyance or other disposition (other than by way of merger or consolidation), in one or a series of related
transactions, of all or substantially 

  

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all of the properties or assets of the Company and its Restricted Subsidiaries taken as a whole (other than any Qualified Securitization Transaction in accordance with the terms of this Sixth
Supplemental Indenture) to any “person” (as that term is used in Section 13(d)(3) of the Exchange Act); 

  

	 	(2)	the adoption of a plan relating to the liquidation or dissolution of the Company; 

 

	 	(3)	the Company becomes aware of (by way of a report or other filing pursuant to Section 13(d) of the Exchange Act, proxy, written notice or otherwise) the
consummation of any transaction (including, without limitation, any merger or consolidation) the result of which is that any “person” (as defined above), other than one or more Principals and their Related Parties, becomes the Beneficial
Owner, directly or indirectly, of more than 50% of the Voting Stock of the Company, measured by voting power rather than number of shares; or 

  

	 	(4)	the first day on which a majority of the members of the Board of Directors of the Company are not Continuing Directors. 

“Concurrent Financing Transactions” means the refinancing of the Company’s existing senior credit facility with the
Credit Agreement, the tender offer for and consent solicitation with respect to the 6.750% Notes and the redemption or discharge, if any, of any 6.750% Notes that thereafter remain outstanding. 

“Consolidated Assets” of any Person as of any date means the total assets of such Person and its Restricted Subsidiaries
on a consolidated basis at such date, as determined in accordance with GAAP. 
 “Consolidated Cash Flow” means,
with respect to any specified Person for any period, the Consolidated Net Income of such Person for such period plus: 
  

	 	(1)	an amount equal to any extraordinary, unusual or non-recurring loss plus any net loss realized by such Person or any of its Restricted Subsidiaries in connection with
an Asset Sale (without regard to the dollar limitation in the definition thereof), to the extent such losses were deducted in computing such Consolidated Net Income; plus 

 

	 	(2)	provision for taxes based on income or profits of such Person and its Restricted Subsidiaries for such period, to the extent that such provision for taxes was deducted
in computing such Consolidated Net Income; plus  

  

	 	(3)	consolidated interest expense of such Person and its Restricted Subsidiaries for such period, whether paid or accrued and whether or not capitalized (including, without
limitation, amortization of debt issuance costs and original issue discount, non-cash interest payments, the interest component of any deferred payment obligations, the interest component of all payments associated with Capital Lease Obligations,
commissions, discounts and other fees and charges incurred in respect of letter of credit or bankers’ acceptance financings, and net of the effect of all payments made or received pursuant to Hedging Obligations), to the extent that any such
expense was deducted in computing such Consolidated Net Income; plus 

  

	 	(4)	 depreciation, amortization (including amortization of goodwill and other intangibles but excluding amortization of prepaid cash expenses that were paid
in a prior period) and other non-cash expenses (excluding any such non-cash expense to the extent that it 

  

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represents an accrual of or reserve for cash expenses in any future period or amortization of a prepaid cash expense that was paid in a prior period) of such Person and its Restricted
Subsidiaries for such period to the extent that such depreciation, amortization and other non-cash expenses were deducted in computing such Consolidated Net Income; minus 

 

	 	(5)	non-cash items increasing such Consolidated Net Income for such period, other than the accrual of revenue in the ordinary course of business, 

in each case, on a consolidated basis and determined in accordance with GAAP. 

Notwithstanding the preceding, the provision for taxes based on the income or profits of, and the depreciation and amortization and other
non-cash expenses of, a Restricted Subsidiary will be added to Consolidated Net Income to compute Consolidated Cash Flow of the Company only to the extent that a corresponding amount would be permitted at the date of determination to be dividended
to the Company by such Restricted Subsidiary without prior governmental approval (that has not been obtained), pursuant to the terms of its charter and all agreements, instruments, judgments, decrees, orders, statutes, rules and governmental
regulations applicable to that Restricted Subsidiary or its stockholders. 
 “Consolidated Net Income” means,
with respect to any specified Person for any period, the aggregate of the Net Income of such Person and its Restricted Subsidiaries for such period, on a consolidated basis, determined in accordance with GAAP; provided that: 

 

	 	(1)	the Net Income (but not loss) of any Person that is not a Restricted Subsidiary or that is accounted for by the equity method of accounting will be included only to the
extent of the amount of dividends or distributions paid in cash to the specified Person or a Restricted Subsidiary of the Person; 

  

	 	(2)	the Net Income of any Restricted Subsidiary will be excluded to the extent that the declaration or payment of dividends or similar distributions by that Restricted
Subsidiary of that Net Income is not at the date of determination permitted without any prior governmental approval (that has not been obtained) or, directly or indirectly, by operation of the terms of its charter or any agreement, instrument,
judgment, decree, order, statute, rule or governmental regulation applicable to that Restricted Subsidiary or its stockholders; 

  

	 	(3)	for purposes of Section 4.01 of this Sixth Supplemental Indenture, the Net Income of any Person acquired in a pooling of interests transaction for any period prior
to the date of such acquisition will be excluded; and 

  

	 	(4)	the cumulative effect of a change in accounting principles will be excluded. 

“Continuing Directors” means, as of any date of determination, any member of the Board of Directors of the Company who:

  

	 	(1)	was a member of such Board of Directors immediately after the annual stockholders meeting of the Company following the Issue Date; or 

 

	 	(2)	was nominated for election or elected to such Board of Directors with the approval of a majority of the Continuing Directors who were members of such Board at the time
of such nomination or election. 

  

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 “Convertible Preferred Stock” means any convertible preferred stock or
similar securities of the Company or any subsidiary trust (or similar financing vehicle) that are convertible at the option of the holder thereof into common stock of the Company. 

“Credit Agreement” means the Credit Agreement, dated on or about the Issue Date, by and among the Company, the lenders
parties thereto, SunTrust Bank, as administrative agent, J.P. Morgan Chase Bank, N.A., as joint syndication agent, and the other agents, arrangers and lenders named therein, including any related notes, guarantees, collateral documents,
instruments and agreements executed in connection therewith, and in each case as amended (including, without limitation, as to principal amount), modified, renewed, refunded, replaced or refinanced from time to time (whether or not with the original
agents or lenders and whether or not contemplated under the original agreement relating thereto). 
 “Credit
Facilities” means, one or more debt facilities (including, without limitation, the Credit Agreement), or commercial paper facilities, or indentures, in each case with banks, institutional or other lenders or a trustee providing for
revolving credit loans, term loans, receivables financing (including through the sale of receivables to such lenders or to special purpose entities formed to borrow from such lenders against such receivables) or letters of credit or debt securities,
in each case, as amended (including, without limitation, as to principal amount), restated, modified, renewed, refunded, replaced or refinanced in whole or in part from time to time (whether or not with the original agents or lenders or parties and
whether or not contemplated under the original agreement relating thereto). 
 “Custodian” means the Trustee,
as custodian for the Notes in global form, or any successor entity thereto. 
 “Default” means any event that
is, or with the passage of time or the giving of notice or both would be, an Event of Default. 
 “Designated Non-cash
Consideration” means any non-cash consideration received by the Company or one of its Restricted Subsidiaries in connection with an Asset Sale that is designated as Designated Non-cash Consideration pursuant to an Officers’ Certificate
executed by the principal financial officer and any of the other executive officers of the Company or such Restricted Subsidiary at the time of such Asset Sale. Any particular item of Designated Non-cash Consideration will cease to be considered to
be outstanding once it has been sold for cash or Cash Equivalents. 
 “Designated Senior Debt” means:

  

	 	(1)	any Indebtedness outstanding under the Credit Agreement; and 

  

	 	(2)	after payment in full of all Obligations under the Credit Agreement, any other Senior Debt (other than the 3.25% Convertible Senior Debentures due 2035 or any Guarantee
thereof) permitted under the Indenture the principal amount of which is $50.0 million or more and that has been designated by the Company as “Designated Senior Debt.” 

“Disqualified Stock” means any Capital Stock that, by its terms (or by the terms of any security into which it is
convertible, or for which it is exchangeable, in each case at the option of the holder of the Capital Stock), or upon the happening of any event, matures or is mandatorily redeemable, pursuant to a sinking fund obligation or otherwise, or redeemable
at the option of the holder of the Capital Stock, in whole or in part, on or prior to the date that is 91 days after the date on which the Notes mature. 

Notwithstanding the preceding sentence, any Capital Stock that would constitute Disqualified Stock solely because the holders of the
Capital Stock have the right to require the Company to repurchase 
  

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such Capital Stock upon the occurrence of a Change of Control or an Asset Sale will not constitute Disqualified Stock if the terms of such Capital Stock provide that the Company may not
repurchase or redeem any such Capital Stock pursuant to such provisions unless such repurchase or redemption complies with the provisions of Section 4.01 of this Sixth Supplemental Indenture. 

“Domestic Subsidiary” means any Restricted Subsidiary organized under the laws of the United States or any state of the
United States or the District of Columbia. 
 “Equity Interests” means Capital Stock and all warrants, options
or other rights to acquire Capital Stock (but excluding any debt security that is convertible into, or exchangeable for, Capital Stock). 

“Equity Offering” means any public or private sale by the Company for cash of its common stock or preferred stock
(excluding Disqualified Stock). 
 “Excluded Subsidiaries” means those Domestic Subsidiaries that are
designated by the Company as Domestic Subsidiaries that will not be Guarantors; provided, however, that in no event will the Excluded Subsidiaries, either individually or collectively, hold more than 10% of the consolidated assets of
the Company and its Domestic Subsidiaries as of the end of any fiscal quarter or account for more than 10% of the consolidated revenue of the Company and its Domestic Subsidiaries during the most recent four-quarter period (in each case determined
as of the most recent fiscal quarter for which the Company has internal financial statements available); provided, further, that any Domestic Subsidiary that guarantees other Indebtedness of the Company may not be designated as or
continue to be an Excluded Subsidiary. In the event any Domestic Subsidiaries previously designated as Excluded Subsidiaries cease to meet the requirements of the previous sentence, the Company will promptly cause one or more of such Domestic
Subsidiaries to become Guarantors so that the requirements of the previous sentence are complied with. 
 “Existing
Indebtedness” means Indebtedness of the Company and its Restricted Subsidiaries (other than Indebtedness under the Credit Agreement) in existence on the Issue Date, until such amounts are repaid, including, without limitation, all
Indebtedness incurred by the Company and its Restricted Subsidiaries in connection with the Concurrent Financing Transactions (other than Indebtedness under the Credit Agreement). 

“Fixed Charges” means, with respect to any specified Person for any period, the sum, without duplication, of:

  

	 	(1)	the consolidated interest expense of such Person and its Restricted Subsidiaries for such period, whether paid or accrued, including, without limitation, amortization
of debt issuance costs and original issue discount, non-cash interest payments, the interest component of any deferred payment obligations, the interest component of all payments associated with Capital Lease Obligations, commissions, discounts and
other fees and charges incurred in respect of letter of credit or bankers’ acceptance financings, and net of the effect of all payments made or received pursuant to Hedging Obligations; plus  

 

	 	(2)	the consolidated interest of such Person and its Restricted Subsidiaries that was capitalized during such period; plus  

 

	 	(3)	any interest expense on Indebtedness of another Person that is Guaranteed by such Person or one of its Restricted Subsidiaries or secured by a Lien on assets of such
Person or one of its Restricted Subsidiaries, to the extent such Guarantee or Lien is called upon; plus  

  

 9 

	 	(4)	the product of (a) all dividends, whether paid or accrued and whether or not in cash, on any series of preferred stock of such Person or any of its Restricted
Subsidiaries, other than dividends on Equity Interests payable solely in Equity Interests of the Company (other than Disqualified Stock) or to the Company or a Restricted Subsidiary, times (b) a fraction, the numerator of which is one and the
denominator of which is one minus the then current combined federal, state and local statutory tax rate of such Person, expressed as a decimal, in each case, on a consolidated basis and in accordance with GAAP. 

“Fixed Charge Coverage Ratio” means with respect to any specified Person for any period, the ratio of the Consolidated
Cash Flow of such Person for such period to the Fixed Charges of such Person for such period. In the event that the specified Person or any of its Restricted Subsidiaries incurs, assumes, Guarantees, repays, repurchases or redeems any Indebtedness
(other than ordinary working capital borrowings) or issues, repurchases or redeems preferred stock subsequent to the commencement of the period for which the Fixed Charge Coverage Ratio is being calculated and on or prior to the date on which the
event for which the calculation of the Fixed Charge Coverage Ratio is made (the “Calculation Date”), then the Fixed Charge Coverage Ratio will be calculated giving pro forma effect to such incurrence, assumption, Guarantee,
repayment, repurchase or redemption of Indebtedness, or such issuance, repurchase or redemption of preferred stock, and the use of the proceeds therefrom as if the same had occurred at the beginning of the applicable four-quarter reference period.

 In addition, for purposes of calculating the Fixed Charge Coverage Ratio, pro forma effect will be given to:

  

	 	(1)	acquisitions of any operations or businesses or assets (other than assets acquired in the ordinary course of business) that have been made by the specified Person or
any of its Restricted Subsidiaries, including through purchases or through mergers or consolidations and including any related financing transactions, during the four-quarter reference period or subsequent to such reference period and on or prior to
the Calculation Date, as if they had occurred on the first day of the four-quarter reference period; and 

  

	 	(2)	the discontinuance of operations or businesses and dispositions of operations or businesses or assets (other than assets disposed of in the ordinary course of business)
during the four quarter reference period or subsequent to such reference period and on or prior to the Calculation Date, as if they had occurred on the first day of the four quarter reference period. 

If any Indebtedness bears a floating rate of interest and is being given pro forma effect, the interest on such Indebtedness shall be
calculated as if the rate in effect on the Calculation Date had been the applicable rate for the entire period. Interest on a Capital Lease Obligation shall be deemed to accrue at an interest rate reasonably determined by a responsible financial or
accounting Officer of the Company to be the rate of interest implicit in such Capital Lease Obligation in accordance with GAAP. For purposes of making the computation referred to above, interest on any Indebtedness under a revolving credit facility
computed on a pro forma basis shall be computed based upon the average daily balance of such Indebtedness during the applicable period. Interest on Indebtedness that may optionally be determined at an interest rate based upon a factor of a prime or
similar rate, a eurocurrency interbank offered rate, or other rate, shall be deemed to have been based upon the rate actually chosen, or, if none, then based upon such optional rate chosen as the Company may designate. 

For purposes of this definition, whenever pro forma effect is to be given to an acquisition of assets, the amount of income or earnings
relating thereto and the amount of consolidated interest expense associated with any Indebtedness incurred in connection therewith, the pro forma calculations shall be 

 

 10 

 
determined in good faith by a responsible financial or accounting officer of the Company. In addition, any such pro forma calculation may include adjustments appropriate, in the reasonable
determination of the Company as set forth in an officers’ certificate, to reflect operating expense reductions reasonably expected to result from any acquisition or merger. 

“GAAP” means generally accepted accounting principles in the United States as in effect as of the Issue Date, including
those set forth in: 
  

	 	(1)	the Financial Accounting Standards Board’s FASB Accounting Standards Codification; and 

 

	 	(2)	the rules and regulations of the Commission with respect to generally accepted accounting principles, including those governing the inclusion of financial statements in
periodic reports required to be filed pursuant to Section 13 of the Exchange Act, including opinions and pronouncements in staff accounting bulletins and similar written statements from the accounting staff of the Commission.

 “Guarantee” means a guarantee other than by endorsement of negotiable instruments for
collection in the ordinary course of business, direct or indirect, in any manner including, without limitation, by way of a pledge of assets or through letters of credit or reimbursement agreements in respect thereof, of all or any part of any
Indebtedness. 
 “Guarantors” means each of: 

 

	 	(1)	the Domestic Subsidiaries of the Company as of the Issue Date other than Excluded Subsidiaries; and 

 

	 	(2)	any other Subsidiary that executes a Subsidiary Guarantee in accordance with the provisions of the Indenture, 

and their respective successors and assigns; provided that upon the release and discharge of any Person from its Subsidiary Guarantee in
accordance with this Indenture, such Person shall cease to be a Guarantor. 
 “Hedging Obligations” means, with
respect to any specified Person, the obligations of such Person under: 
  

	 	(1)	interest rate swap agreements, interest rate cap agreements and interest rate collar agreements; and 

 

	 	(2)	other agreements or arrangements designed to protect such Person against fluctuations in interest rates or foreign exchange rates. 

“Indebtedness” means, with respect to any specified Person, any indebtedness of such Person, whether or not contingent:

  

	 	(1)	in respect of borrowed money; 

  

	 	(2)	evidenced by bonds, notes, debentures or similar instruments or letters of credit (or reimbursement agreements in respect thereof); 

 

 11 

	 	(3)	in respect of banker’s acceptances; 

  

	 	(4)	representing Capital Lease Obligations; 

  

	 	(5)	representing the balance deferred and unpaid of the purchase price of any property; or 

 

	 	(6)	representing any Hedging Obligations, 

 if and
to the extent any of the preceding items (other than letters of credit and Hedging Obligations) would appear as a liability upon a balance sheet of the specified Person prepared in accordance with GAAP. In addition, the term
“Indebtedness” includes all Indebtedness of others secured by a Lien on any asset of the specified Person (whether or not such Indebtedness is assumed by the specified Person) and, to the extent not otherwise included, the Guarantee
by the specified Person of any indebtedness of any other Person, in each case limited to the maximum amount of liability of the specified Person with respect to such Lien or Guarantee on the date in question. Notwithstanding anything in the
foregoing to the contrary, Indebtedness shall not include trade payables or accrued expenses for property or services incurred in the ordinary course of business, any liability for federal, state, local or other taxes or any settlements or judgments
relating to governmental litigations and/or investigations. 
 The amount of any Indebtedness issued with original issue
discount will be the accreted value of such Indebtedness. 
 “Indenture” shall mean the Base Indenture, as
amended from time to time with respect to the Notes, and together with and as supplemented by this Sixth Supplemental Indenture. 

“Investment Grade” means (1) with respect to S&P, any of the rating categories from and including AAA to and
including BBB- and (2) with respect to Moody’s, any of the rating categories from and including Aaa to and including Baa3. 

“Investments” means, with respect to any Person, all direct or indirect investments by such Person in other Persons
(including Affiliates) in the forms of loans (including Guarantees or other obligations), advances or capital contributions (excluding commission, travel and similar advances to directors, officers and employees made in the ordinary course of
business), purchases or other acquisitions for consideration of Indebtedness, Equity Interests or other securities, together with all items that are or would be classified as investments on a balance sheet prepared in accordance with GAAP. If the
Company or any Restricted Subsidiary sells or otherwise disposes of any Equity Interests of any direct or indirect Restricted Subsidiary such that, after giving effect to any such sale or disposition, such Person is no longer a Restricted
Subsidiary, the Company will be deemed to have made an Investment on the date of any such sale or disposition equal to the fair market value of the Equity Interests of such Restricted Subsidiary not sold or disposed of in an amount determined as
provided in the final paragraph of Section 4.01 of this Sixth Supplemental Indenture; provided that the Company shall not have been deemed to have made an Investment pursuant to the foregoing if the Company shall have previously or
concurrently therewith been deemed to have made an Investment in connection with such Equity Interests. The acquisition by the Company or any Restricted Subsidiary of a Person that holds an Investment in a third Person will be deemed to be an
Investment by the Company or such Restricted Subsidiary in such third Person in an amount equal to the fair market value of the Investment held by the acquired Person in such third Person in an amount determined as provided in the final paragraph of
Section 4.01 of this Sixth Supplemental Indenture; provided, the Company or such Restricted Subsidiary shall not have been deemed to have made an Investment pursuant to the foregoing if the Company or any Restricted Subsidiary shall have
previously or concurrently therewith been deemed to have made an Investment in connection with such acquisition. “Investments” shall exclude extensions of trade credit. 

 

 12 

 “Issue Date” means the original issue date for the first issuance of Notes
offered hereunder. 
 “Lien” means, with respect to any asset, any mortgage, lien, pledge, charge, security
interest or encumbrance of any kind in respect of such asset, whether or not filed, recorded or otherwise perfected under applicable law, including any conditional sale or other title retention agreement, any lease in the nature thereof, any option
or other agreement to sell or give a security interest in and any filing of or agreement to give any financing statement under the Uniform Commercial Code (or equivalent statutes) of any jurisdiction. 

“Limited Originator Recourse” means a reimbursement obligation of the Company in connection with a drawing on a letter
of credit, revolving loan commitment, cash collateral account or other such credit enhancement issued to support Indebtedness of a Securitization Subsidiary that the Company’s board of directors (or a duly authorized committee thereof)
determines is necessary to effectuate a Qualified Securitization Transaction; provided, that the available amount of any such form of credit enhancement at any time shall not exceed 10% of the principal amount of such Indebtedness at such
time; and provided, further, that such reimbursement obligation is permitted to be Incurred by the Company pursuant to Section 4.03 of this Sixth Supplemental Indenture. 

“Net Income” means, with respect to any specified Person, the net income (loss) of such Person, determined in accordance
with GAAP and before any reduction in respect of preferred stock dividends, excluding, however: 
  

	 	(1)	any gain or loss, together with any related provision for taxes on such gain or loss, realized in connection with: (a) any Asset Sale (without regard to the dollar
limitation in the definition thereof); (b) the disposition of any securities by such Person or any of its Restricted Subsidiaries or the extinguishment of any Indebtedness of such Person or any of its Restricted Subsidiaries; or (c) any
acquisition, recapitalization or Permitted Investment of such Person or any of its Restricted Subsidiaries; 

  

	 	(2)	any extraordinary, unusual or non-recurring gain, charge, expense or loss (together with any related provision for taxes on such extraordinary, unusual or non-recurring
gain, charge, expense or loss) including, without limitation, (a) restructuring charges, reserves or other related expenses, (b) fees, expenses or charges relating to facility shutdowns and discontinued operations, (c) acquisition
integration costs, (d) severance or other employee termination or relocation costs, expenses or charges, (e) non-cash compensation charges recorded from grants of stock options, restricted stock, stock appreciation rights and other equity
equivalents to officers, directors and employees and (f) litigation and investigation settlement costs and related expenses; and 

  

	 	(3)	the net income (or loss) from disposed or discontinued operations for the four fiscal quarters preceding the date of determining Net Income. 

“Net Proceeds” means the aggregate cash proceeds and Cash Equivalents received by the Company or its Restricted
Subsidiaries in respect of any Asset Sale (including, without limitation, any cash received upon the sale or other disposition of any non-cash consideration received in any Asset Sale), net of the direct costs relating to such Asset Sale, including,
without limitation, legal, accounting and investment banking fees, sales commissions, any relocation expenses incurred as a result of the Asset Sale, any taxes paid or payable as a result of the Asset Sale, in each case, after taking into account
any available tax credits or deductions and any tax sharing arrangements, amounts required to be applied to the repayment of Indebtedness, all distributions and other payments required to be made to non-majority interest holders in subsidiaries or
joint ventures as a result of such Asset Sale and appropriate amounts to be provided by 
  

 13 

 
the Company or any Restricted Subsidiary, as the case may be, as a reserve required in accordance with GAAP against any liabilities associated with such Asset Sale and retained by the Company or
any Restricted Subsidiary, as the case may be, after such Asset Sale, including, without limitation, pension and other post-employment benefit liabilities, liabilities related to environmental matters and liabilities under any indemnification
obligations associated with such Asset Sale. 
 “Obligations” means any principal, interest, penalties, fees,
indemnifications, reimbursements, damages and other liabilities payable under the documentation governing any Indebtedness. 

“Permitted Business” means the business or businesses conducted by the Company and its Restricted Subsidiaries as of the
Issue Date and any business ancillary or complementary thereto. 
 “Permitted Investments” means: 

 

	 	(1)	any Investment in the Company or in a Restricted Subsidiary; 

  

	 	(2)	any Investment in Cash Equivalents; 

  

	 	(3)	any Investment by the Company or any Restricted Subsidiary in a Person, if as a result of such Investment: 

 

	 	(a)	such Person becomes a Restricted Subsidiary; or 

  

	 	(b)	such Person is merged, consolidated or amalgamated with or into, or transfers or conveys substantially all of its assets to, or is liquidated into, the Company or a
Restricted Subsidiary; 

  

	 	(4)	any Investment made as a result of the receipt of non-cash consideration from an Asset Sale that was made pursuant to and in compliance with the provisions of
Section 4.04 of this Sixth Supplemental Indenture; 

  

	 	(5)	any Investment received to the extent the consideration therefor was the issuance of Equity Interests (other than Disqualified Stock) of the Company;

  

	 	(6)	Hedging Obligations; 

  

	 	(7)	intercompany Indebtedness to the extent permitted under Section 4.03 of this Sixth Supplemental Indenture; 

 

	 	(8)	Investments in prepaid expenses, negotiable instruments held for collection and lease, utility and workers’ compensation, performance and other similar deposits
made in the ordinary course of business and Investments to secure participation in government reimbursement programs; 

  

	 	(9)	loans and advances to officers, directors and employees made in the ordinary course of business; 

 

	 	(10)	Investments represented by accounts and notes receivable created or acquired in the ordinary course of business; 

 

 14 

	 	(11)	Investments existing on the Issue Date and any renewal or replacement thereof on terms and conditions not materially less favorable than that being renewed or replaced;

  

	 	(12)	Investments by any qualified or nonqualified benefit plan established by the Company or its Restricted Subsidiaries made in accordance with the terms of such plan, or
any Investments made by the Company or any Restricted Subsidiary in connection with the funding thereof; 

  

	 	(13)	Investments received in settlement of debts or judgments owed to the Company or any Restricted Subsidiary, including, without limitation, as a result of foreclosure,
perfection or enforcement of any Lien or indebtedness or in connection with any bankruptcy, liquidation, receivership or insolvency proceeding; 

  

	 	(14)	Investments as of the Issue Date in Unrestricted Subsidiaries so designated as of the Issue Date; 

 

	 	(15)	Investments in any Subsidiary that constitutes a special purpose entity formed for the primary purpose of issuing trust preferred or similar securities in a transaction
permitted by Section 4.03 of this Sixth Supplemental Indenture; 

  

	 	(16)	Investments deemed to have been made as a result of the acquisition of a Person that at the time of such acquisition held instruments constituting Investments that were
not made in contemplation of the acquisition of such Person; 

  

	 	(17)	Investments by the Company or a Restricted Subsidiary in a Securitization Subsidiary in connection with a Qualified Securitization Transaction, which investment
consists of a retained interest in transferred Receivables and Related Assets; 

  

	 	(18)	Investments made within 90 days after the date of the commitment to make the Investment, that when such commitment was made would have complied with the terms of the
Indenture; 

  

	 	(19)	Guarantees issued in accordance with Section 4.03 of this Sixth Supplemental Indenture; 

 

	 	(20)	payroll, travel and similar advances to cover matters that are expected at the time of such advances ultimately to be treated as expenses for accounting purposes and
that are made in the ordinary course of business; and 

  

	 	(21)	other Investments in any Person having an aggregate fair market value (measured on the date each such Investment was made and without giving effect to subsequent
changes in value), when taken together with all other outstanding Investments made pursuant to this clause (21), not to exceed 20.0% of Consolidated Assets in the aggregate at any one time outstanding. 

“Permitted Junior Securities” means: 
  

	 	(1)	Equity Interests in the Company or any Guarantor; or 

  

	 	(2)	debt securities that are subordinated to all Senior Debt and to substantially the same extent as, or to a greater extent than, the Notes and the Subsidiary Guarantees
are subordi nated to Senior Debt under the Indenture and any debt securities issued in exchange for Senior Debt. 

  

 15 

 “Permitted Liens” means: 

 

	 	(1)	Liens securing Senior Debt; 

  

	 	(2)	Liens in favor of the Company or its Restricted Subsidiaries; 

  

	 	(3)	Liens on property of a Person existing at the time such Person is merged with or into or consolidated with the Company or any Restricted Subsidiary; provided
that such Liens were in existence prior to the contemplation of such merger or consolidation and do not extend to any assets other than those of the Person merged into or consolidated with the Company or the Restricted Subsidiary;

  

	 	(4)	Liens on property existing at the time of acquisition of the property by the Company or any Restricted Subsidiary, provided that such Liens were in existence
prior to the contemplation of such acquisition; 

  

	 	(5)	Liens to secure Indebtedness (including, without limitation, Capital Lease Obligations) permitted by clause (d) of the second paragraph of Section 4.03 of
this Sixth Supplemental Indenture covering only the assets acquired with such Indebtedness; 

  

	 	(6)	Liens existing on the Issue Date; 

  

	 	(7)	Liens for taxes, assessments or governmental charges or claims that are not yet delinquent or that are being contested in good faith by appropriate proceedings promptly
instituted and diligently concluded, provided that any reserve or other appropriate provision as is required in conformity with GAAP has been made therefor; 

 

	 	(8)	Liens securing any Hedging Obligations of the Company or any Restricted Subsidiary; 

 

	 	(9)	Liens securing any Indebtedness otherwise permitted to be incurred under the Indenture, the proceeds of which are used to refinance Indebtedness of the Company or any
Restricted Subsidiary, provided that such Liens extend to or cover only the assets secured by the Indebtedness being refinanced; 

  

	 	(10)	Liens on property of a Person existing at the time such Person becomes a Restricted Subsidiary, provided that such Liens were not incurred in connection with, or
in contemplation of, such Person becoming a Restricted Subsidiary; 

  

	 	(11)	statutory Liens and other Liens imposed by law incurred in the ordinary course of business for sums not yet delinquent or being contested in good faith, if the Company
or any applicable Restricted Subsidiaries shall have made any reserves or other appropriate provision required by GAAP; 

  

	 	(12)	Liens incurred or deposits made in the ordinary course of business in connection with workers’ compensation, unemployment insurance and other types of social
security, or to secure the performance of tenders, statutory obligations, surety and appeal bonds, bids, leases, government contracts, performance, return-of-money bonds, participation in government reimbursement programs and other similar
obligations; 

  

 16 

	 	(13)	judgment Liens not giving rise to an Event of Default, so long as any appropriate legal proceedings which may have been duly initiated for the review of such judgment
shall not have been finally terminated or the period within which such proceedings may be initiated shall not have expired; 

  

	 	(14)	easements, rights-of-way, zoning restrictions and other similar charges or encumbrances in respect of real property not interfering in any material respect with the
conduct of the business of the Company or any of its Restricted Subsidiaries; 

  

	 	(15)	any interest or title of a lessor in assets or property subject to Capital Lease Obligations or an operating lease of the Company or any Restricted Subsidiary;

  

	 	(16)	Liens incurred in connection with a financing involving the sale or other disposition of accounts receivable and related assets (including, without limitation, in
connection with a securitization or similar financing); 

  

	 	(17)	leases or subleases granted to others not interfering with the ordinary conduct of the business of the Company or any of the Restricted Subsidiaries;

  

	 	(18)	bankers’ liens with respect to the right of set-off arising in the ordinary course of business against amounts maintained in bank accounts or certificates of
deposit in the name of the Company or any Restricted Subsidiary; 

  

	 	(19)	the interest of any issuer of a letter of credit in any cash or Cash Equivalents deposited with or for the benefit of such issuer as collateral for such letter of
credit; provided that the Indebtedness so collateralized is permitted to be incurred by the terms of this Indenture; 

  

	 	(20)	any Lien consisting of a right of first refusal or option to purchase an ownership interest in any Restricted Subsidiary or to purchase assets of the Company or any
Restricted Subsidiary, which right of first refusal or option is entered into in the ordinary course of business or is otherwise permitted under the Indenture; 

 

	 	(21)	any Lien granted to the Trustee pursuant to the terms of the Indenture and any substantially equivalent Lien granted to the respective trustees under the indentures for
other debt securities of the Company; 

  

	 	(22)	statutory, contractual or common law Liens of landlords and mortgagees of landlords and Liens of carriers, warehousemen, mechanics, suppliers, materialmen, repairmen or
workmen in the ordinary course of business; 

  

	 	(23)	licenses and sublicenses of intellectual property granted to third parties in the ordinary course of business; 

 

	 	(24)	Liens upon specific items of inventory or other goods and proceeds of any Person securing such Person’s Obligations in respect of bankers’ acceptances issued
or created for the account of such Person to facilitate the purchase, shipment or storage of such inventory or other goods; 

  

	 	(25)	Liens with respect to obligations that do not at any one time outstanding exceed the greater of $200.0 million and 2.5% of the Consolidated Assets of the Company; and

  

 17 

	 	(26)	Liens on assets transferred to a Securitization Subsidiary or on assets of a Securitization Subsidiary, in either case, incurred in connection with a Qualified
Securitization Transaction. 

 “Permitted Refinancing Indebtedness” means any Indebtedness of the
Company or any Restricted Subsidiary issued in exchange for, or the net proceeds of which are used to extend, refinance, renew, replace, defease or refund other Indebtedness of the Company or any of its Restricted Subsidiaries (other than
intercompany Indebtedness); provided that: 
  

	 	(1)	the principal amount of such Permitted Refinancing Indebtedness does not exceed the principal amount of the Indebtedness extended, refinanced, renewed, replaced,
defeased or refunded (plus all accrued interest on the Indebtedness and the amount of all fees, expenses and premiums incurred in connection therewith); 

  

	 	(2)	if the Indebtedness being extended, refinanced, renewed, replaced, defeased or refunded is other than Senior Debt, such Permitted Refinancing Indebtedness has a final
maturity date not earlier than the final maturity date of, and has a Weighted Average Life to Maturity equal to or greater than, the Weighted Average Life to Maturity of, the Indebtedness being extended, refinanced, renewed, replaced, defeased or
refunded, except that, in the case of a refinancing, replacement, defeasance or refunding of the 4.00% Convertible Subordinated Debentures due 2033, such Permitted Refinancing Indebtedness may have a final maturity date and a Weighted Average Life
to Maturity of no earlier than one year after the final maturity date and Weighted Average Life to Maturity of the Notes; 

  

	 	(3)	if the Indebtedness being extended, refinanced, renewed, replaced, defeased or refunded is subordinated in right of payment to the Notes, such Permitted Refinancing
Indebtedness is subordinated in right of payment to the Notes on terms not materially less favorable to the Holders of Notes as those contained in the documentation governing the Indebtedness being extended, refinanced, renewed, replaced, defeased
or refunded, except that, in the case of a refinancing, replacement, defeasance or refunding of the 4.00% Convertible Subordinated Debentures due 2033, such Permitted Refinancing Indebtedness may be subordinate or pari passu in right of
payment to the Notes; and 

  

	 	(4)	if the Indebtedness being extended, refinanced, renewed, replaced, defeased or refunded was incurred by the Company, the obligor on the Permitted Refinancing
Indebtedness may not be a Restricted Subsidiary. 

 “Person” means any individual, corporation,
partnership, joint venture, association, joint-stock company, trust, unincorporated organization, limited liability company or government or other entity. 

“Principal” means Joel Gemunder, an entity controlled by Joel Gemunder and/or a trust for his benefit or any employee
benefit plan of the Company (including plans for the benefit of employees of its Restricted Subsidiaries). 

“Purchasing” means Omnicare Purchasing Company, LP, a Delaware limited partnership. 

“Qualified Securitization Transaction” means any transaction or series of transactions that may be entered into by the
Company or any Restricted Subsidiary pursuant to which (a) the Company or any Restricted Subsidiary may sell, convey or otherwise transfer to a Securitization Subsidiary its interests in Receivables and Related Assets and (b) such
Securitization Subsidiary transfers to any other person, or grants a security interest in, such Receivables and Related Assets, pursuant to a transaction which is customarily used to achieve a transfer of financial assets under GAAP. 

 

 18 

 “Rating Event” has the meaning set forth in Section 4.12 of this Sixth
Supplemental Indenture. 
 “Receivables and Related Assets” means any account receivable (whether now existing
or arising thereafter) of the Company or any Restricted Subsidiary, and any assets related thereto including all collateral securing such accounts receivable, all contracts and contract rights and all Guarantees or other obligations in respect of
such accounts receivable, proceeds of such accounts receivable and other assets which are customarily transferred or in respect of which security interest are customarily granted in connection with asset securitization transaction involving accounts
receivable. 
 “Related Party” means: 

 

	 	(1)	any controlling stockholder, 80% (or more) owned Subsidiary, or immediate family member (in the case of an individual) of any Principal; or 

 

	 	(2)	any trust, corporation, partnership or other entity, the beneficiaries, stockholders, partners, owners or Persons beneficially holding an 80% or more controlling
interest of which consist of any one or more Principals and/or such other Persons referred to in the immediately preceding clause (1). 

“Replacement Assets” mean properties or assets substantially similar to the assets disposed of in a particular Asset
Sale and acquired to replace the properties or assets that were the subject of such Asset Sale or that are otherwise useful in a Permitted Business. 

“Restricted Investment” means an Investment other than a Permitted Investment. 

“Restricted Subsidiary” means any direct or indirect Subsidiary of the Company other than an Unrestricted Subsidiary.

 “Securitization Subsidiary” means a Subsidiary of the Company: 

(1) that is designated a “Securitization Subsidiary” by the board of directors of the Company (or a duly
authorized committee thereof); 
 (2) that does not engage in any activities other than Qualified Securitization
Transactions and any activity necessary or incidental thereto; 
 (3) no portion of the Indebtedness or any other
obligation, contingent or otherwise, of which 
 (A) is Guaranteed by the Company or any Restricted Subsidiary in
any way other than pursuant to Standard Securitization Undertakings or Limited Originator Recourse, 
 (B) is
recourse to or obligates the Company or any other Restricted Subsidiary in any way other than pursuant to Standard Securitization Undertakings or Limited Originator Recourse, or 

 

 19 

 (C) subjects any property or asset of the Company or any other Restricted
Subsidiary, directly or indirectly, contingently or otherwise, to the satisfaction thereof other than pursuant to Standard Securitization Undertakings or Limited Originator Recourse; 

(4) with respect to which neither the Company nor any other Restricted Subsidiary has any obligation to maintain or
preserve its financial condition or cause it to achieve certain levels of operating results; and 
 (5) with
which neither the Company nor any Restricted Subsidiary has any material contract, agreement, arrangement or understanding other than on terms no less favorable to the Company or such Restricted Subsidiary than those that might be obtained at the
time from persons that are not Affiliates of the Company, other than Standard Securitization Undertakings and fees payable in the ordinary course of business in connection with servicing accounts receivable of such entity. 

Any designation of a Subsidiary as a Securitization Subsidiary shall be evidenced to the Trustee by filing with the Trustee a certified
copy of the resolution of the board of directors of the Company giving effect to the designation and an Officers’ Certificate certifying that the designation complied with the preceding conditions. 

“Senior Debt” means, in the case of the Company or a Guarantor: 

 

	 	(1)	all obligations of the Company or such Guarantor, as the case may be, related to the Credit Agreement, whether for principal, premium, if any, interest, including
interest accruing after the filing of, or which would have accrued but for the filing of, a petition by or against the Company or such Guarantor under applicable bankruptcy laws, whether or not such interest is lawfully allowed as a claim after such
filing, and all other amounts payable in connection therewith, including, without limitation, any fees, premiums, penalties, expenses, reimbursements, indemnities, damages and other liabilities; and 

 

	 	(2)	the principal of, premium, if any, and interest on all other Indebtedness of the Company or such Guarantor, as the case may be, other than the Notes, and all Hedging
Obligations, in each case whether outstanding on the Issue Date or thereafter created, incurred or assumed, unless, in the case of any particular Indebtedness or Hedging Obligation, the instrument creating or evidencing the Indebtedness or Hedging
Obligation expressly provides that such Indebtedness or Hedging Obligation shall not be senior in right of payment to the Notes. 

Notwithstanding the foregoing, “Senior Debt” does not include: 

 

	 	(a)	Indebtedness evidenced by the Notes and the Subsidiary Guarantees; 

  

	 	(b)	Indebtedness of the Company or any Guarantor that is expressly subordinated in right of payment to any Senior Debt of the Company or such Guarantor or the Notes or the
applicable Subsidiary Guarantee; 

  

	 	(c)	Indebtedness of the Company or any Guarantor that by operation of law is subordinate to any general unsecured obligations of the Company or such Guarantor;

  

 20 

	 	(d)	Indebtedness of the Company or any Guarantor to the extent incurred in violation of any covenant prohibiting the incurrence of Indebtedness under the Indenture;

  

	 	(e)	any liability for federal, state or local taxes or other taxes, owed or owing by the Company or any Guarantor; 

 

	 	(f)	accounts payable or other liabilities owed or owing by the Company or any Guarantor to trade creditors, including Guarantees thereof or instruments evidencing such
liabilities; 

  

	 	(g)	amounts owed by the Company or any Guarantor for compensation to employees or for services rendered to the Company or such Guarantor; 

 

	 	(h)	Indebtedness of the Company or any Guarantor to any Restricted Subsidiary or any other Affiliate of the Company or such Guarantor; 

 

	 	(i)	Capital Stock of the Company or any Guarantor; 

  

	 	(j)	Indebtedness which when incurred and without respect to any election under Section 1111(b) of Title 11 of the U.S. Code is without recourse to the Company or any
Restricted Subsidiary; 

  

	 	(k)	the 6.875% Notes or any Guarantee thereof; 

  

	 	(l)	the 6.125% Notes or any Guarantee thereof; 

  

	 	(m)	the 4.00% Convertible Subordinated Debentures due 2033 and the related Trust Preferred Income Securities (or any Guarantee thereof); 

 

	 	(n)	any Guarantee of the 3.25% Convertible Senior Debentures due 2035 or any Permitted Refinancing Indebtedness incurred in respect thereof pursuant to Section 4.03(e)
of this Sixth Supplemental Indenture (other than a Guarantee by Purchasing); and 

  

	 	(o)	The 6.75% Notes (or any Guarantee thereof). 

“Significant Subsidiary” means any Subsidiary that would be a “significant subsidiary” as defined in Article
1, Rule 1-02 of Regulation S-X, promulgated pursuant to the Securities Act, as such Regulation is in effect on the date hereof. 

“Standard Securitization Undertakings” means representations, warranties, covenants and indemnities entered into by the
Company or any Restricted Subsidiary that are reasonably customary in accounts receivable securitization transactions, as the case may be. 

“Stated Maturity” means, with respect to any installment of interest or principal on any series of Indebtedness, the
date on which the payment of interest or principal was scheduled to be paid in the original documentation governing such Indebtedness, and will not include any contingent obligations to repay, redeem or repurchase any such interest or principal
prior to the date originally scheduled for the payment thereof. 
 “Subsidiary” means, with respect to any
specified Person, (a) any corporation more than 50% of the outstanding securities having ordinary voting power of which shall at the time be owned or controlled, directly or indirectly, by such Person or by one or more of its Restricted
Subsidiaries or by such Person 
  

 21 

 
and one or more of its Restricted Subsidiaries, or (b) any partnership, limited liability company, association, joint venture or similar business organization more than 50% of the ownership
interests having ordinary voting power of which shall at the time be so owned or controlled. 
 “Subsidiary
Guarantee” means a guarantee of Notes pursuant to this Sixth Supplemental Indenture. 
 “Treasury
Rate” means, at any date of determination, the yield to maturity as of such date (as compiled by and published in the most recent Federal Reserve Statistical Release H.15(519), which has become publicly available at least two business days
prior to the date of the redemption notice for which such computation is being made (or if such Statistical Release is no longer published, as reported in any publicly available source of similar market data)), of United States Treasury securities
with a constant maturity most nearly equal to the period from the relevant redemption date to June 1, 2015; provided that, if such period is not equal to the constant maturity of the United States Treasury security for which a weekly
average yield is given, the Treasury Rate shall be obtained by linear interpolation (calculated to the nearest one-twelfth of a year) from the weekly average yields of United States Treasury securities for which such yields are given, except that if
such period is less than one year, the weekly average yield on actually traded United States Treasury securities adjusted to a constant maturity of one year shall be used. 

“Trust PIERS” means the $345 million aggregate principal amount 4.00% Trust PIERS due 2033 issued by Omnicare Capital
Trust I on June 13, 2003 and the Series B 4.00% Trust PIERS due 2033 issued by Omincare Capital Trust II on March 8, 2005. 

“Unrestricted Subsidiary” means any Subsidiary of the Company that is designated by the Board of Directors of the
Company as an Unrestricted Subsidiary pursuant to a Board Resolution, but only to the extent that such Subsidiary: 
  

	 	(1)	has no Indebtedness other than Indebtedness that is without recourse to the Company or its Restricted Subsidiaries; 

 

	 	(2)	is not party to any agreement, contract, arrangement or understanding with the Company or any Restricted Subsidiary unless the terms of any such agreement, contract,
arrangement or understanding are not materially less favorable to the Company or such Restricted Subsidiary than those that might be obtained at the time from Persons who are not Affiliates of the Company; 

 

	 	(3)	is a Person with respect to which neither the Company nor any of its Restricted Subsidiaries has any (a) continuing direct or indirect obligation to subscribe for
additional Equity Interests or (b) direct or indirect obligation to maintain or preserve such Person’s financial condition or to cause such Person to achieve any specified levels of operating results; and 

 

	 	(4)	has not guaranteed or otherwise directly or indirectly provided credit support for any Indebtedness of the Company or any of its Restricted Subsidiaries.

 In addition, any Subsidiary that constitutes a special purpose entity formed for the primary purpose of
financing receivables or for the primary purpose of issuing trust preferred or similar securities in connection with a transaction permitted by Section 4.03 of this Sixth Supplemental Indenture, shall be an Unrestricted Subsidiary. 

 

 22 

 Any designation of a Subsidiary of the Company as an Unrestricted Subsidiary after the Issue
Date will be evidenced to the Trustee by filing with the Trustee a certified copy of the Board Resolution giving effect to such designation and an Officers’ Certificate certifying that such designation complied with the preceding conditions and
was permitted by Section 4.01 of this Sixth Supplemental Indenture. If, at any time, any Unrestricted Subsidiary would fail to meet the preceding requirements as an Unrestricted Subsidiary, it will thereafter cease to be an Unrestricted
Subsidiary for purposes hereof and any Indebtedness of such Subsidiary will be deemed to be incurred by a Restricted Subsidiary of the Company as of such date and, if such Indebtedness is not permitted to be incurred as of such date under
Section 4.03 of this Sixth Supplemental Indenture, the Company will be in default of such covenant. The Board of Directors of the Company may at any time designate any Unrestricted Subsidiary to be a Restricted Subsidiary; provided that
such designation will be deemed to be an incurrence of Indebtedness by a Restricted Subsidiary of any outstanding Indebtedness of such Unrestricted Subsidiary and such designation will only be permitted if (1) such Indebtedness is permitted
under Section 4.03 of this Sixth Supplemental Indenture, calculated on a pro forma basis as if such designation had occurred at the beginning of the four quarter reference period; and (2) no Default or Event of Default would be in
existence following such designation. 
 “Voting Stock” of any Person as of any date means the Capital Stock of
such Person that is at the time entitled to vote in the election of the Board of Directors of such Person. 
 “Weighted
Average Life to Maturity” means, when applied to any Indebtedness at any date, the number of years obtained by dividing: 
  

	 	(1)	the sum of the products obtained by multiplying (a) the amount of each then remaining installment, sinking fund, serial maturity or other required payments of
principal, including payment at final maturity, in respect of the Indebtedness, by (b) the number of years (calculated to the nearest one-twelfth) that will elapse between such date and the making of such payment; by 

 

	 	(2)	the then outstanding principal amount of such Indebtedness. 

Section 1.02. Other Definitions. 
  

			
	 Term
	  	Defined in Section
		
	 Affiliate Transaction
	  	4.05
	 Asset Sale Offer
	  	4.04
	 Excess Proceeds
	  	4.04
	 Exchange Act
	  	4.07
	 Offer Amount
	  	3.04
	 Offer Period
	  	3.04
	 Moody’s
	  	4.12
	 Permitted Debt
	  	4.03
	 Payment Default
	  	6.01
	 Purchase Date
	  	3.04
	 Rating Event
	  	4.12
	 S&P
	  	4.12
	 Subsidiary Guarantee
	  	10.01

  

 23 

 ARTICLE II 

THE NOTES 

Section 2.01. Title. Subject to and in accordance with Section 2.03 of the Base Indenture, the Company hereby
establishes a series of securities to be issued under the Indenture with the title “7.75% Senior Subordinated Notes due 2020.” 

Section 2.02. Aggregate Initial Principal Amount. Subject to being increased by the Company from time to time as shall be
stated in an Officers’ Certificate, the aggregate initial principal amount of the Notes which may be authenticated and delivered pursuant to this Sixth Supplemental Indenture (except for Notes authenticated and delivered upon registration or
transfer of, or in exchange for, or in lieu of, other Notes pursuant to Sections 2.08, 2.09, 2.12, 3.06 or 9.05 of the Base Indenture and except for Notes which, pursuant to Section 2.04 of the Base Indenture, are deemed never to have been
authenticated and delivered) is $400 million. The Company may issue additional Notes from time to time hereunder, subject to the provisions of Section 2.04 of the Base Indenture and subject to the limitations set forth in Section 4.03 of
this Sixth Supplemental Indenture. All Notes issued on the Issue Date together with any such additional Notes issued under this Sixth Supplemental Indenture will be treated as a single class of securities under the Indenture. 

Section 2.03. Form. The Notes will be issued in registered form in minimum denominations of $2,000 and integral multiples of
$1,000 in excess thereof. The Notes shall be initially issued in the form of one or more Global Securities substantially in the form of Exhibit A hereto. The Depository with respect to the Notes shall be The Depositary Trust Company. Each Note shall
be dated the date of its authentication. The terms and provisions contained in the Notes shall constitute, and are hereby expressly made, a part of this Sixth Supplemental Indenture and the Company, the Guarantors and the Trustee, by their execution
and delivery of this Sixth Supplemental Indenture, expressly agree to such terms and provisions and to be bound thereby. However, to the extent any provision of any Note conflicts with the express provisions of the Indenture, the provisions of the
Indenture shall govern and be controlling. 
 Section 2.04. Payment on Global Securities. The Company will make
payments in respect of Notes issued in the form of Global Securities (including principal, premium and if any, interest) by wire transfer of immediately available funds to the accounts specified by the Global Securities Holder. The Company will make
all payments of principal, interest and premium with respect to Notes issued in permanent form by wire transfer of immediately available funds to the accounts specified by the Holders of such Notes or, if no such account is specified, by mailing a
check to each such Holder’s registered address. 
 Section 2.05. Amendment to Section 2.08. Clause
(ii) of the fourth paragraph of Section 2.08 of the Base Indenture shall not apply to the Notes. 
 ARTICLE III 

 REDEMPTION 

Section 3.01. Optional Redemption. At any time prior to June 1, 2013, the Company may on any one or more occasions
redeem up to 35% of the aggregate principal amount of the Notes (including any additional Notes) issued under this Sixth Supplemental Indenture at a redemption price of 107.750% of the principal amount, plus accrued interest and unpaid, if any, to
(but not including) the redemption date, with the net cash proceeds of one or more Equity Offerings; provided that: 

(a) at least 65% of the aggregate principal amount of Notes issued under this Sixth Supplemental Indenture remains
outstanding immediately after the occurrence of such redemption (excluding Notes held by the Company and its Subsidiaries); and 
  

 24 

 (b) the redemption occurs within 180 days of the date of the closing of such
Equity Offering. 
 At any time prior to June 1, 2015, the Company may redeem all but not part of the Notes,
upon not less than 30 nor more than 60 days’ notice, at a redemption price equal to 100% of the principal amount thereof, plus the Applicable Redemption Premium and accrued and unpaid interest to (but not including) the redemption date.

 Except pursuant to the preceding two paragraphs, the Notes will not be redeemable at the Company’s option
prior to June 1, 2015. On or after June 1, 2015, the Company may redeem all or a part of the Notes upon not less than 30 nor more than 60 days’ notice, at the redemption prices (expressed as percentages of principal amount) set forth
below plus accrued and unpaid interest, if any, on the Notes redeemed, to (but not including) the applicable redemption date, if redeemed during the twelve-month period beginning on June 1 of the years indicated below: 

 

				
	 Year
	  	Percentage	 
		
	 2015
	  	103.875	% 
	 2016
	  	102.583	% 
	 2017
	  	101.292	% 
	 2018 and thereafter
	  	100.000	% 

  

	 	(c)	Any redemption pursuant to this Section 3.01 shall be made pursuant to Section 3.03 of this Sixth Supplemental Indenture and the provisions of Sections 3.01
through 3.06 of the Base Indenture. 

 Section 3.02. Mandatory Redemption. Except as set forth in
Sections 3.04, 4.04 and 4.07, the Company is not required to make mandatory redemption or sinking fund payments with respect to the Notes. 

Section 3.03. Selection and Notice. Once notice of redemption is mailed in accordance with Section 3.03 of the Base
Indenture, Notes called for redemption become irrevocably due and payable on the Redemption Date at the Redemption Price. A notice of redemption may be conditional upon the occurrence of certain events, including equity offerings. Notes selected to
be redeemed will be redeemed in amounts of $2,000 and integral multiples of $1,000 in excess thereof and no Notes of $2,000 or less can be redeemed in part. 

Section 3.04. Offer to Purchase by Application of Excess Proceeds. In the event that, pursuant to Section 4.04 of this
Sixth Supplemental Indenture, the Company shall be required to commence an Asset Sale Offer, it shall follow the procedures specified below. 

The Asset Sale Offer shall remain open for a period of 20 Business Days following its commencement, except to the extent that a longer
period is required by applicable law (the “Offer Period”). No later than five Business Days after the termination of the Offer Period (the “Purchase Date”), the Company shall purchase the principal amount of Notes
required to be purchased pursuant to Section 4.04 of this Sixth Supplemental Indenture (the “Offer Amount”) or, if less than the Offer Amount has been tendered, all Notes tendered in response to the Asset Sale Offer.

  

 25 

 If the Purchase Date is on or after an interest record date and on or before the related
interest payment date, any accrued and unpaid interest shall be paid to the Person in whose name a Note is registered at the close of business on such record date, and no additional interest shall be payable to Holders who tender Notes pursuant to
the Asset Sale Offer. 
 Upon commencement of an Asset Sale Offer, the Company shall send, by first class mail, a notice to the
Trustee and each of the Holders. The notice shall contain all instructions and materials necessary to enable such Holders to tender Notes pursuant to the Asset Sale Offer. The Asset Sale Offer shall be made to all Holders. The notice, which shall
govern the terms of the Asset Sale Offer, shall state: 
 (a) that the Asset Sale Offer is being made pursuant to
this Section 3.04 and Section 4.04 of this Sixth Supplemental Indenture and the length of time the Asset Sale Offer shall remain open; 

(b) the Offer Amount, the purchase price and the Purchase Date; 

(c) that any Note not tendered or accepted for payment shall continue to accrete or accrue interest; 

(d) that, unless the Company defaults in making such payment, any Note accepted for payment pursuant to the Asset Sale
Offer shall cease to accrue interest after the Purchase Date; 
 (e) that Holders electing to have a Note
purchased pursuant to an Asset Sale Offer may elect to have Notes purchased only in minimum denominations of $2,000 and in integral multiples of $1,000 in excess thereof; 

(f) that Holders electing to have a Note purchased pursuant to any Asset Sale Offer shall be required to surrender the
Note, with the form entitled “Option of Holder to Elect Purchase” on the reverse of the Note completed, or transfer by book-entry transfer, to the Company, a depositary, if appointed by the Company, or a Paying Agent at the address
specified in the notice at least three days before the Purchase Date; 
 (g) that Holders shall be entitled to
withdraw their election if the Company, the Depositary or the Paying Agent, as the case may be, receives, no later than the close of business on the last day of the Offer Period, a telegram, telex, facsimile transmission or letter setting forth the
name of the Holder, the principal amount of the Note the Holder delivered for purchase and a statement that such Holder is withdrawing his election to have such Note purchased; 

(h) that, if the aggregate principal amount of Notes surrendered by Holders exceeds the Offer Amount, the Trustee shall
select the Notes to be purchased on a pro rata basis (with such adjustments as may be deemed appropriate by the Trustee so that only Notes in minimum denominations of $2,000, or integral multiples of $1,000 in excess thereof, shall be
purchased); and 
 (i) that Holders whose Notes were purchased only in part shall be issued new Notes equal in
principal amount, in minimum amounts of $2,000 and integral multiples of $1,000 in excess thereof, to the unpurchased portion of the Notes surrendered (or transferred by book-entry transfer) upon cancellation of the original Notes. 

 

 26 

 On or before the Purchase Date, the Company shall, to the extent lawful, accept for payment,
on a pro rata basis to the extent necessary, the Offer Amount of Notes or portions thereof tendered pursuant to the Asset Sale Offer, or if less than the Offer Amount has been tendered, all Notes tendered, deposit with the Paying Agent an
amount equal to the Offer Amount in respect of all Notes or portions of Notes properly tendered and shall deliver to the Trustee an Officers’ Certificate stating that such Notes or portions thereof were accepted for payment by the Company in
accordance with the terms of this Section 3.04. The Paying Agent shall promptly (but in any case not later than five Business Days after the Purchase Date) mail or deliver to each tendering Holder an amount equal to the purchase price of the
Notes tendered by such Holder and accepted by the Company for purchase, and the Company shall promptly issue a new Note, and the Trustee, upon written request from the Company shall authenticate and mail or deliver such new Note to such Holder, in a
principal amount equal to any unpurchased portion of the Note surrendered upon cancellation of the original Note. Any Note not so accepted shall be promptly mailed or delivered by the Company to the Holder thereof. The Company shall publicly
announce the results of the Asset Sale Offer on the Purchase Date. 
 Other than as specifically provided in this
Section 3.04, any purchase pursuant to this Section 3.04 shall be made pursuant to the provisions of Sections 3.01 through 3.06 of the Base Indenture. 

ARTICLE IV 

ADDITIONAL COVENANTS 

The Notes shall not be subject to the covenant set forth in Section 4.03 of the Base Indenture. In addition to the other covenants
set forth in Article 4 of the Base Indenture, the Notes shall be subject to the additional covenants set forth in this Article IV: 

Section 4.01. Restricted Payments. The Company shall not, and shall not permit any of its Restricted Subsidiaries to,
directly or indirectly: 
 (a) declare or pay any dividend or make any other payment or distribution on account
of the Company’s or any Restricted Subsidiary’s Equity Interests (including, without limitation, any payment in connection with any merger or consolidation involving the Company or any of its Restricted Subsidiaries) or to the direct or
indirect holders of the Company’s or any of its Restricted Subsidiaries’ Equity Interests in their capacity as such (other than dividends or distributions payable in Equity Interests (other than Disqualified Stock) of the Company or to the
Company or a Restricted Subsidiary); 
 (b) purchase, redeem or otherwise acquire or retire for value (including,
without limitation, in connection with any merger or consolidation involving the Company) any Equity Interests of the Company; 

(c) make any voluntary or optional payment on or with respect to, or purchase, redeem, defease or otherwise acquire or
retire for value any Indebtedness that is subordinated to the Notes or the Subsidiary Guarantees, except a payment of interest or principal at the Stated Maturity thereof or the purchase, redemption, defeasance, acquisition or retirement for value
of any such Indebtedness within 365 days of the Stated Maturity thereof; or 
 (d) make any Restricted Investment

 (all such payments and other actions set forth in these clauses (a) through (d) being collectively referred to as “Restricted
Payments”), unless, at the time of and after giving effect to such Restricted Payment: 
 (i) no Default or
Event of Default has occurred and is continuing or would occur as a consequence of such Restricted Payment; and 
  

 27 

 (ii) the Company would, at the time of such Restricted Payment and after
giving pro forma effect thereto as if such Restricted Payment had been made at the beginning of the applicable four-quarter period, have been permitted to incur at least $1.00 of additional Indebtedness pursuant to the Fixed Charge Coverage Ratio
test set forth in the first paragraph of Section 4.03 of this Sixth Supplemental Indenture; and 
 (iii)
such Restricted Payment, together with the aggregate amount of all other Restricted Payments made by the Company and its Restricted Subsidiaries after April 1, 2010 (excluding Restricted Payments permitted by clauses (b), (c), (d), (f), (g),
(h), (i), (j), (k), (l), (n), (o), (p), (q), (r) and (s) of the next succeeding paragraph) is less than the sum, without duplication, of: 

(A) 50% of the Consolidated Net Income of the Company for the period (taken as one accounting period) from April 1,
2010 to the end of the Company’s most recently ended fiscal quarter for which internal financial statements are available at the time of such Restricted Payment (or, if such Consolidated Net Income for such period is a deficit, less 100% of
such deficit), plus  
 (B) 100% of the aggregate net cash proceeds received by the Company since
April 1, 2010 as a contribution to its common equity capital or from the issue or sale of Equity Interests of the Company (other than Disqualified Stock) or from the issue or sale of convertible or exchangeable Disqualified Stock or convertible
or exchangeable debt securities that have been converted into or exchanged for such Equity Interests of the Company (other than Equity Interests (or Disqualified Stock or debt securities) sold to a Restricted Subsidiary), plus  

(C) to the extent that any Restricted Investment that was made after April 1, 2010 is sold for cash or Cash
Equivalents (or a combination thereof) or otherwise liquidated or repaid for cash or Cash Equivalents (or a combination thereof), the lesser of (1) the return of capital with respect to such Restricted Investment (less the cost of disposition,
if any) and (2) the initial amount of such Restricted Investment, plus  
 (D) an amount equal to the
sum of (1) the net reduction in Investments in Unrestricted Subsidiaries resulting from cash dividends, repayments of loans or advances or other transfers of assets, in each case to the Company or any Restricted Subsidiary from Unrestricted
Subsidiaries, plus (2) the portion (proportionate to the Company’s equity interest in such Subsidiary) of the fair market value of the net assets of an Unrestricted Subsidiary at the time such Unrestricted Subsidiary is designated a
Restricted Subsidiary, in each case since April 1, 2010 (provided, however, that the foregoing sum shall not exceed, in the case of any Unrestricted Subsidiary, the amount of Investments made since April 1, 2010 by the
Company or any Restricted Subsidiary that were treated as Restricted Payments, and provided, further, that no amount will be included under this clause (D) to the extent it is already included in clauses (A), (B) or
(C) above) plus 
 (E) $1,635 million. 

 

 28 

 So long as no Default has occurred and is continuing or would be caused thereby, the
preceding provisions shall not prohibit: 
 (a) the payment of any dividend within 60 days after the date of
declaration of the dividend, if at the date of declaration the dividend payment would have complied with the provisions of the Indenture; 

(b) the redemption, repurchase, retirement, defeasance or other acquisition of any subordinated Indebtedness of the
Company or any Restricted Subsidiary or of any Equity Interests of the Company in exchange for, or out of the net cash proceeds of the substantially concurrent sale (other than to a Restricted Subsidiary) of, Equity Interests of the Company (other
than Disqualified Stock); provided that the amount of any such net cash proceeds that are utilized for any such redemption, repurchase, retirement, defeasance or other acquisition will be excluded from clause (iii)(B) of the preceding
paragraph; 
 (c) the defeasance, redemption, repurchase or other acquisition of subordinated Indebtedness of the
Company or any Restricted Subsidiary with the net cash proceeds from an incurrence of Permitted Refinancing Indebtedness; 

(d) the payment of any dividend or similar distribution by a Restricted Subsidiary to the holders of its Equity Interests
on a pro rata basis; 
 (e) the repurchase, redemption or other acquisition or retirement for value of any
Equity Interests of the Company or any Restricted Subsidiary held by any officer, director or employee of the Company or any Subsidiary of the Company in connection with any management equity subscription agreement, any compensation, retirement,
disability, severance or benefit plan or agreement, any stock option or incentive plan or agreement, any employment agreement or any other similar plans or agreements; provided that the aggregate price paid for all such repurchased, redeemed,
acquired or retired Equity Interests may not exceed $75.0 million in any calendar year (with unused amounts in any calendar year being carried over to succeeding years); 

(f) the repurchase of Equity Interests deemed to occur upon the exercise of stock options or stock appreciation rights or
the lapsing of restrictions on restricted stock, to the extent such Equity Interests represent a portion of the exercise price of those stock options or stock appreciation rights or the withholding taxes payable in connection with such stock
options, stock appreciation rights or restricted stock; 
 (g) the payment of dividends by the Company on its
common stock in an aggregate annual amount of up to $200.0 million; 
 (h) the repurchase of any class of Capital
Stock of a Restricted Subsidiary (other than Disqualified Stock) if such repurchase is made pro rata among all holders of such class of Capital Stock; 

(i) the payment of any scheduled dividend or similar distribution, and any scheduled repayment of the stated amount,
liquidation preference or any similar amount at final maturity or on any scheduled redemption or repurchase date, in respect of any series of preferred stock or similar securities of the Company or any Restricted Subsidiary (including Disqualified
Stock), provided that (i) such series of preferred stock or similar securities was issued in compliance with Section 4.03 of this Sixth Supplemental Indenture; 

 

 29 

 (j) payments in lieu of fractional shares; 

(k) the purchase of any Indebtedness that is subordinate to the notes at a purchase price no greater than 101% of the
principal amount thereof in the event of a Change of Control in accordance with provisions similar to those described under Section 4.07 of this Sixth Supplemental Indenture; provided that prior to such purchase the Company has made the
Change of Control Offer as provided in such section and has purchased all notes validly tendered for payment in connection with such Change of Control Offer; 

(l) the purchase of any Indebtedness that is subordinate to the notes from Net Proceeds to the extent permitted by the
provisions described under Section 4.04 of this Sixth Supplemental Indenture; 
 (m) (a) honoring any
conversion request by a holder of convertible securities and making required cash payments in connection therewith and (b) redemption of the 4.00% Convertible Subordinated Debentures due 2033 and the Trust PIERS upon an “Investment Company
Event” or a “Tax Event” (as defined in the indenture and the amended and restated trust agreement therefor as in effect on the Issue Date); 

(n) interest payments on the 4.00% Convertible Subordinated Debentures due 2033 and the corresponding distributions paid
to holders of the Trust PIERS; 
 (o) the distribution of 4.00% Convertible Subordinated Debentures due 2033 to
holders of the Trust PIERS in connection with the liquidation of the related trust; and 
 (p) payments or
distributions to dissenting stockholders pursuant to applicable law in connection with any merger, consolidation or disposition in accordance with the terms of the indenture; 

(q) the purchase, redemption, cancellation or other retirement for a nominal value per right of any rights granted to
holders of Omnicare common stock pursuant to a shareholder rights plan; 
 (r) the repurchase, redemption or
other acquisition of Disqualified Stock of the Company or any of its Restricted Subsidiaries in exchange for or out of the proceeds of a substantially concurrent offering of, Disqualified Stock of the Company; 

(s) additional Restricted Payments pursuant to this clause (s) in an aggregate amount not to exceed the greater of
$200 million and 5.0% of Consolidated Assets of the Company as of the end of the Company’s most recently completed fiscal quarter for which internal financial statements are available at the time of such Restricted Payment (with each such
Restricted Payment being valued as of the date made and without regard to subsequent changes in value). 
 The amount of all
Restricted Payments (other than cash) will be the fair market value on the date of the Restricted Payment of the asset(s) or securities proposed to be transferred or issued by the Company or such Restricted Subsidiary, as the case may be, pursuant
to the Restricted Payment. The fair market value of any assets or securities that are required to be valued by this Section 4.01 will be determined by the Board of Directors of the Company in good faith, whose determination with respect thereto
will be conclusive. 
  

 30 

 For purposes of determining compliance with this Section 4.01, in the event that a
Restricted Payment meets the criteria of more than one of the categories of Restricted Payments described in clauses (a) through (s) above, or is entitled to be incurred pursuant to the first paragraph of this Section 4.01, the
Company will be entitled to classify such Restricted Payment (or portion thereof) on the date of its payment or later reclassify such Restricted Payment (or portion thereof) in any manner that complies with this Section 4.01. 

Section 4.02. Dividend and Other Payment Restrictions Affecting Restricted Subsidiaries. The Company shall not, and shall not
permit any of its Restricted Subsidiaries to, directly or indirectly, create or permit to exist or become effective any consensual encumbrance or restriction on the ability of any Restricted Subsidiary to: 

(a) pay dividends or make any other distributions on its Capital Stock to the Company or any of its Restricted
Subsidiaries, or with respect to any other interest or participation in, or measured by, its profits, or pay any indebtedness owed to the Company or any of its Restricted Subsidiaries; 

(b) make loans or advances to the Company or any of its Restricted Subsidiaries; or 

(c) transfer any of its properties or assets to the Company or any of its Restricted Subsidiaries. 

However, the preceding restrictions will not apply to encumbrances or restrictions existing under or by reason of: 

(a) agreements governing Existing Indebtedness and Credit Facilities as in effect on the Issue Date and any amendments,
modifications, restatements, renewals, increases, supplements, refundings, replacements or refinancings of those agreements, provided that the amendments, modifications, restatements, renewals, increases, supplements, refundings, replacement
or refinancings are not materially more restrictive, taken as a whole, with respect to such dividend and other payment restrictions than those contained in those agreements on the Issue Date; 

(b) the Indenture, the Notes and the Subsidiary Guarantees; 

(c) applicable law; 

(d) any instrument governing Indebtedness or Capital Stock of a Person acquired by the Company or any of its Restricted
Subsidiaries as in effect at the time of such acquisition (except to the extent such Indebtedness or Capital Stock was incurred in connection with or in contemplation of such acquisition), which encumbrance or restriction is not applicable to any
Person, or the properties or assets of any Person, other than the Person, or the property or assets of the Person, so acquired, provided that, in the case of Indebtedness, such Indebtedness was permitted by the terms of the Indenture to be
incurred; 
 (e) customary non-assignment provisions in leases entered into in the ordinary course of business;

 (f) purchase money obligations or Capital Lease Obligations for property acquired or leased in the ordinary
course of business that impose restrictions on that property of the nature described in clause (c) of the preceding paragraph; 
  

 31 

 (g) any agreement for the sale or other disposition of a Restricted
Subsidiary or any assets thereof that restricts distributions by that Restricted Subsidiary pending the sale or other disposition; 

(h) Permitted Refinancing Indebtedness, provided that the restrictions contained in the agreements governing such
Permitted Refinancing Indebtedness are not materially more restrictive, taken as a whole, than those contained in the agreements governing the Indebtedness being refinanced; 

(i) Liens securing Indebtedness otherwise permitted to be incurred under Section 4.06 of this Sixth Supplemental
Indenture; 
 (j) provisions with respect to the disposition or distribution of assets or property in joint
venture agreements, asset sale agreements, stock sale agreements and other similar agreements entered into in the ordinary course of business; 

(k) restrictions imposed in connection with a financing transaction involving a sale or other disposition of accounts
receivable and related assets (including, without limitation, in connection with a securitization or similar financing) or in connection with a financing involving a subsidiary trust or similar financing vehicle that is permitted by
Section 4.03 of this Sixth Supplemental Indenture, provided, that such restrictions do not materially adversely affect the Company’s ability to pay interest and principal on the Notes when due; 

(l) restrictions on cash or other deposits or net worth imposed by customers under contracts entered into in the ordinary
course of business or imposed by governmental agencies or authorities; 
 (m) in the case of clause (c) of
the preceding paragraph, encumbrances or restrictions arising or agreed to in the ordinary course of business, not relating to Indebtedness and that do not materially detract from the value of the property or assets of the Company and its Restricted
Subsidiaries; and 
 (n) encumbrances or restrictions relating to a Guarantor contained in the terms of
Indebtedness if the encumbrance or restriction is not materially more disadvantageous to Holders than is customary in comparable financings and will not materially affect the Company’s ability to make principal or interest payments on the Notes
(in each case determined by the Company in good faith). 
 Section 4.03. Incurrence of Indebtedness and Issuance of
Preferred Stock. The Company shall not, and shall not permit any of its Restricted Subsidiaries to, directly or indirectly, create, incur, issue, assume, guarantee or otherwise become directly or indirectly liable, contingently or otherwise,
with respect to (collectively, “incur”) any Indebtedness (including Acquired Debt), and the Company shall not issue any Disqualified Stock and shall not permit any of its Restricted Subsidiaries to issue any shares of preferred stock;
provided, however, that the Company and any Restricted Subsidiary may incur Indebtedness (including Acquired Debt) and the Company may issue Disqualified Stock and any Restricted Subsidiary may issue preferred stock (including
Disqualified Stock) if the Fixed Charge Coverage Ratio for the Company’s most recently ended four full fiscal quarters for which internal financial statements are available immediately preceding the date on which such additional Indebtedness is
incurred or such Disqualified Stock or preferred stock is issued would have been at least 2.0 to 1, determined on a pro forma basis (including a pro forma application of the net proceeds therefrom), as if the additional Indebtedness had been
incurred or the Disqualified Stock or preferred stock had been issued, as the case may be, at the beginning of such four-quarter period. 
  

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 The first paragraph of this Section 4.03 will not prohibit the following (collectively,
“Permitted Debt”): 
 (a) the incurrence by the Company and its Restricted Subsidiaries of
additional Indebtedness and letters of credit under Credit Facilities in an aggregate principal amount at any one time outstanding under this clause (a) (with letters of credit being deemed to have a principal amount equal to the maximum
potential liability of the Company and its Restricted Subsidiaries thereunder) not to exceed the greater of $1.25 billion and 15% of Consolidated Assets (less the aggregate principal amount of Indebtedness incurred by Securitization
Subsidiaries and then outstanding pursuant to clause (r) of this paragraph); 
 (b) Existing Indebtedness;

 (c) the incurrence by the Company and the Guarantors of Indebtedness represented by the Notes and the related
Subsidiary Guarantees to be issued on the Issue Date; 
 (d) the incurrence by the Company or any of its
Restricted Subsidiaries of Indebtedness represented by Capital Lease Obligations, mortgage financings or purchase money obligations, in each case, incurred for the purpose of financing all or any part of the purchase price or cost of construction or
improvement of property, plant or equipment used in the business of the Company or such Subsidiary, in an aggregate principal amount, including all Permitted Refinancing Indebtedness incurred to refund, refinance or replace any Indebtedness incurred
pursuant to this clause (d), not to exceed the greater of $200.0 million and 2.5% of Consolidated Assets at any time outstanding; 

(e) the incurrence by the Company or any of its Restricted Subsidiaries of Permitted Refinancing Indebtedness in exchange
for, or the net proceeds of which are used to refund, refinance or replace Indebtedness (other than intercompany Indebtedness) that was permitted by the Indenture to be incurred under the first paragraph of this Section 4.03 or clauses
(b) (excluding 6.750% Notes repurchased pursuant to the tender offer therefor launched by the Company substantially concurrently with the initial offering of the Notes) (c), (d), (j), (m), (n), (w) or this clause (e) of this
paragraph; 
 (f) the incurrence by the Company or any of its Restricted Subsidiaries of intercompany
Indebtedness or the issuance of Disqualified Stock or Preferred Stock between or among the Company and any of its Restricted Subsidiaries; provided, however, that (i) any subsequent issuance or transfer of Equity Interests that
results in any such Indebtedness, Disqualified Stock or Preferred Stock being held by a Person other than the Company or a Restricted Subsidiary and (ii) any sale or other transfer of any such Indebtedness, Disqualified Stock or Preferred Stock
to a Person that is not either the Company or a Restricted Subsidiary, will be deemed, in each case, to constitute an incurrence of such Indebtedness, Disqualified Stock or Preferred Stock by the Company or such Restricted Subsidiary, as the case
may be, that was not permitted by this clause (f); 
 (g) the incurrence by the Company or any of its Restricted
Subsidiaries of Hedging Obligations that are incurred for the purpose of fixing or hedging (i) interest rate risk with respect to any Indebtedness that is permitted by the terms of the Indenture to be outstanding or (ii) exchange rate risk
with respect to obligations under any agreement or Indebtedness, or with respect to any asset, of such Person that is payable or denominated in a currency other than U.S. Dollars; 

 

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 (h) the Guarantee by the Company or any of the Restricted Subsidiaries of
Indebtedness of the Company or a Restricted Subsidiary that was permitted to be incurred by another provision of this Section 4.03; 

(i) the accrual of interest, the accretion or amortization of original issue discount, the payment of interest on any
Indebtedness in the form of additional Indebtedness with the same terms, and the payment of dividends on preferred stock (including Disqualified Stock) in the form of additional shares of the same class of preferred stock (including Disqualified
Stock) will not be deemed to be an incurrence of Indebtedness or an issuance of preferred stock (including Disqualified Stock) for purposes of this Section 4.03; provided, in each such case, that the amount thereof is included in Fixed
Charges of the Company as accrued; 
 (j) the issuance of Convertible Subordinated Debentures and/or the issuance
of Convertible Preferred Stock in an aggregate principal amount (with the liquidation value of the Convertible Preferred Stock being treated as its principal amount for this purpose) not to exceed $1.0 billion at any one time outstanding pursuant to
this clause (j), plus the issuance of any related securities issued by a subsidiary trust or similar financing vehicle in connection therewith; 

(k) Indebtedness of the Company or any Restricted Subsidiary consisting of guarantees, indemnities, hold backs or
obligations in respect of purchase price adjustments in connection with the acquisition or disposition of assets, including, without limitation, shares of Capital Stock of restricted Subsidiaries, or contingent payment obligations incurred in
connection with the acquisition or disposition of assets which are contingent on the performance of the assets acquired or disposed of; 

(l) Indebtedness represented by (i) letters of credit for the account of the Company or any Restricted Subsidiary or
(ii) other obligations to reimburse third parties pursuant to any surety bond or other similar arrangements, to the extent that such letters of credit and other obligations, as the case may be, are intended to provide security for workers’
compensation claims, payment obligations in connection with self-insurance, in connection with participation in government reimbursement or other programs or other similar requirements in the ordinary course of business; 

(m) the incurrence by the Company or any Restricted Subsidiary of Indebtedness to the extent the proceeds thereof are used
to purchase Notes pursuant to a Change of Control Offer or defease or discharge the Notes in accordance with the terms of this Sixth Supplemental Indenture; 

(n) Indebtedness arising from the honoring by a bank or other financial institution of a check, draft or similar
instrument inadvertently (except in the case of daylight overdrafts) drawn against insufficient funds in the ordinary course of business; provided, however, that such Indebtedness is extinguished within five Business Days of Incurrence; 

(o) Indebtedness incurred in the ordinary course of business in connection with cash pooling arrangements, cash management
and other Indebtedness incurred in the ordinary course of business in respect of netting services, overdraft protections and similar arrangements in each case in connection with cash management and deposit accounts; 

(p) Indebtedness consisting of (i) the financing of insurance premiums or (ii) take or pay obligations in supply
agreements, in each case in the ordinary course of business; 
  

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 (q) Indebtedness of the Company and its Subsidiaries representing the
obligation of such Person to make payments with respect to the cancellation or repurchase of Capital Stock of officers, employees or directors (or their estates) of the Company or such Subsidiaries pursuant to the terms of employment, severance or
termination agreements, benefit plans or similar documents; 
 (r) Indebtedness incurred by a Securitization
Subsidiary in connection with a Qualified Securitization Transaction that is non-recourse with respect to the Company and its Restricted Subsidiaries; provided, however, that in the event such Securitization Subsidiary ceases to qualify as a
Securitization Subsidiary or such Indebtedness becomes recourse to the Company or any of its Restricted Subsidiaries, such Indebtedness will, in each case, be deemed to be, and must be classified by the Company as, incurred at such time (or at the
time initially incurred) under one more of the other provisions of this covenant; 
 (s) the disposition of
accounts receivable in connection with receivables factoring arrangements in the ordinary course of business; 

(t) unsecured Indebtedness in respect of obligations of the Company or any of its Restricted Subsidiaries to pay the
deferred purchase price of goods or services or progress payments in connection with such goods and services; provided that such obligations are Incurred in connection with open accounts extended by suppliers on customary trade terms (which require
that all such payments be made within 60 days after the Incurrence of the related obligations) in the ordinary course of business; 

(u) Indebtedness representing deferred compensation to employees of the Company or any of its Restricted Subsidiaries
Incurred in the ordinary course of business; 
 (v) reimbursement obligations with respect to letters of credit,
bank guarantees, warehouse receipts or similar instruments issued in the ordinary course of business, and Indebtedness of the Company in respect of letters of credit issued by the Company for its own account or for the account of any of its
Restricted Subsidiaries; 
 (w) the incurrence by the Company or any of its Restricted Subsidiaries of additional
Indebtedness (which may include, but is not limited to, Indebtedness of the types referred to in the foregoing clauses (a) through (v)) in an aggregate principal amount (or accreted value, as applicable) at any time outstanding, including all
Permitted Refinancing Indebtedness incurred to refund, refinance or replace any Indebtedness incurred pursuant to this clause (w), not to exceed the greater of $350 million and 5.0% of Consolidated Assets; and 

(x) Indebtedness of a Restricted Subsidiary outstanding on the date on which such Restricted Subsidiary was acquired by
the Company or otherwise became a Restricted Subsidiary (other than Indebtedness incurred as consideration in, or to provide all or any portion of the funds or credit support utilized to consummate, the transaction or series of transactions pursuant
to which such Restricted Subsidiary became a Subsidiary of the Company or was otherwise acquired by the Company), provided that after giving effect thereto, (a) the Company would be permitted to incur at least $1 of additional
Indebtedness pursuant to the Fixed Charge Coverage Ratio test in the first paragraph above, or (b) the Fixed Charge Coverage Ratio would be no worse than immediately prior thereto. 

For purposes of determining compliance with this Section 4.03, in the event that an item of proposed Indebtedness meets the criteria
of more than one of the categories of Permitted Debt described in 
  

 35 

 
clauses (a) through (x) above, or is entitled to be incurred pursuant to the first paragraph of this Section 4.03, the Company will be permitted to classify and reclassify such
item of Indebtedness in any manner that complies with this Section 4.03. Indebtedness under Credit Facilities outstanding on the date on which Notes are first issued and authenticated hereunder will be deemed to have been incurred on such date
in reliance on the exception provided by clause (a) of the definition of Permitted Debt. The Company will not permit any of its Subsidiaries (other than Purchasing) to Guarantee the 3.25% Convertible Senior Debentures due 2035 or any Permitted
Refinancing Indebtedness incurred in respect thereof pursuant to clause (e) of the immediately preceding paragraph, except that any such Permitted Refinancing Indebtedness may be Guaranteed by a Guarantor on a basis subordinated to such
Guarantor’s Subsidiary Guarantee. 
 Notwithstanding any other provision of this Section 4.03, the maximum amount of
Indebtedness that may be Incurred pursuant to this covenant will not be deemed to be exceeded with respect to any Indebtedness solely as a result of fluctuations in exchange rates or currency values. 

Guarantees of, or obligations in respect of letters of credit relating to, Indebtedness that is otherwise included in the determination
of particular amount of Indebtedness shall not be included in the determination of such amount of Indebtedness; provided that the Incurrence of the Indebtedness represented by such guarantee or letter of credit, as the case may be, was in
compliance with this Section 4.03. 
 Section 4.04. Asset Sales. The Company shall not, and shall not permit
any of the Restricted Subsidiaries to, consummate an Asset Sale unless: 
 (a) the Company (or the Restricted
Subsidiary, as the case may be) receives consideration at the time of the Asset Sale at least equal to the fair market value of the assets or Equity Interests issued or sold or otherwise disposed of; 

(b) the fair market value is determined by the Company’s Board of Directors and evidenced by a resolution of the
Board of Directors; and 
 (c) at least 70% of the consideration received in the Asset Sale by the Company or
such Restricted Subsidiary is in the form of cash, Cash Equivalents and/or Replacement Assets. For purposes of this provision, each of the following will be deemed to be cash: 

(i) any liabilities, as shown on the Company’s or such Restricted Subsidiary’s most recent balance sheet, of the
Company or any Restricted Subsidiary (other than contingent liabilities and liabilities that are by their terms subordinated to the Notes or any Subsidiary Guarantee) that are assumed by the transferee of any such assets and from which the Company
or such Restricted Subsidiary is released from further liability; 
 (ii) any securities, notes or other
obligations received by the Company or any such Restricted Subsidiary from such transferee that are converted by the Company or such Restricted Subsidiary into cash within 180 days of receipt, to the extent of the cash received in that conversion;
and 
 (iii) any Designated Non-cash Consideration received by the Company or any of its Restricted Subsidiaries
in such Asset Sale having an aggregate fair market value, taken together with all other Designated Non-cash Consideration received pursuant to this clause (iii) that is at that time outstanding, not to exceed $50 million at the time of the
receipt of such Designated Non-cash Consideration (with the fair market value of each item of Designated Non-cash Consideration being measured at the time received and without giving effect to subsequent changes in value). 

 

 36 

 Within 365 days after the receipt of any Net Proceeds from an Asset Sale, the Company or a
Restricted Subsidiary may apply those Net Proceeds at its option: 
 (a) to repay Senior Debt or Indebtedness of
a Restricted Subsidiary that is not a Guarantor; 
 (b) to acquire all or substantially all of the assets of, or
a majority of the Voting Stock of, another Permitted Business; 
 (c) to make a capital expenditure; 

(d) to acquire Replacement Assets; or 

(e) to acquire other long-term assets that are used or useful in a Permitted Business. 

The Company or the relevant Restricted Subsidiary will be deemed to have complied with the immediately preceding sentence with respect to
any such Net Proceeds if it enters into a binding agreement to make an acquisition or capital expenditure permitted pursuant to clause (b), (c), (d) or (e) of the immediately preceding sentence in an amount equal to such Net Proceeds
within such 365 days; provided that, if the relevant acquisition or capital expenditure is not consummated or completed, as the case may be, within the later of (x) 365 days after the receipt of the relevant Net Proceeds and (y) 180
days after the date of such binding agreement, such Net Proceeds will constitute “Excess Proceeds.” Pending the final application of any Net Proceeds, the Company or the Restricted Subsidiary may temporarily invest the Net Proceeds in any
manner that is not prohibited by the Indenture. 
 Any Net Proceeds from Asset Sales that are not applied or invested as
provided in the preceding paragraph will constitute “Excess Proceeds.” When the aggregate amount of Excess Proceeds exceeds $75.0 million, the Company shall make an offer ( an “Asset Sale Offer”) to all Holders of
Notes and all holders of other Indebtedness that is pari passu with the Notes containing provisions similar to those set forth herein with respect to offers to purchase or redeem with the proceeds of sales of assets to purchase the maximum
principal amount of Notes and such other pari passu Indebtedness that may be purchased out of the Excess Proceeds. The offer price in any Asset Sale Offer will be equal to 100% of principal amount plus accrued and unpaid interest, if any, to
the date of purchase, and will be payable in cash. If any Excess Proceeds remain after consummation of an Asset Sale Offer, the Company may use those Excess Proceeds for any purpose not otherwise prohibited by the Indenture. If the aggregate
principal amount of notes and other pari passu Indebtedness tendered into such Asset Sale Offer exceeds the amount of Excess Proceeds, the Trustee will select the Notes and such other pari passu Indebtedness to be purchased on a pro
rata basis. Upon completion of each Asset Sale Offer, the amount of Excess Proceeds will be reset at zero. 
 The Company
will comply with the requirements of Rule 14e-1 under the Exchange Act and any other securities laws and regulations thereunder to the extent those laws and regulations are applicable in connection with each repurchase of Notes pursuant to an Asset
Sale Offer. To the extent that the provisions of any securities laws or regulations conflict with Section 3.04 of this Sixth Supplemental Indenture or this Section 4.04, the Company will comply with the applicable securities laws and
regulations and will not be deemed to have breached its obligations under Section 3.04 of this Sixth Supplemental Indenture or this Section 4.04, by virtue of such conflict. 

 

 37 

 Section 4.05. Transactions with Affiliates. The Company shall not, and shall not
permit any of its Restricted Subsidiaries to, make any payment to, or sell, lease, transfer or otherwise dispose of any of its properties or assets to, or purchase any property or assets from, or enter into or make or amend any transaction,
contract, agreement, understanding, loan, advance or Guarantee with, or for the benefit of, any Affiliate (each, an “Affiliate Transaction”), unless: 

(a) the Affiliate Transaction is on terms that are no less favorable to the Company or the relevant Restricted Subsidiary
than those that would have been obtained in a comparable transaction by the Company or such Restricted Subsidiary with an unrelated Person; and 

(b) with respect to any Affiliate Transaction or series of related Affiliate Transactions involving aggregate
consideration in excess of $50.0 million, the Company delivers to the Trustee a resolution of the Company’s Board of Directors set forth in an Officers’ Certificate certifying that such Affiliate Transaction complies with this
Section 4.05 and that such Affiliate Transaction has been approved by a majority of the disinterested members of the Company’s Board of Directors, or an opinion as to the fairness to the Holders of such Affiliate Transaction from a
financial point of view issued by an accounting, appraisal or investment banking firm of national standing in the United States. 

The following items will not be deemed to be Affiliate Transactions and, therefore, will not be subject to the provisions of the prior
paragraph: 
 (a) directors’ fees, indemnification and similar arrangements, consulting fees, employee
salaries, bonuses or employment agreements, compensation, retirement, disability, severance or employee benefit arrangements and incentive arrangements with, and loans and advances to, any officer, director or employee in the ordinary course of
business; 
 (b) performance of all agreements in existence on the Issue Date and any modification thereto or any
transaction contemplated thereby in any replacement agreement therefor so long as such modification or replacement is not materially more disadvantageous to the Company or any of its Restricted Subsidiaries than the original agreement in effect on
the Issue Date; 
 (c) transactions in connection with a financing transaction involving a sale or other
disposition of accounts receivable and related assets (including, without limitation, in connection with a securitization or similar financing) or in connection with a financing involving a subsidiary trust or similar financing vehicle that is
permitted by Section 4.03 of this Sixth Supplemental Indenture; 
 (d) transactions in the ordinary course
of business with any joint venture that is otherwise permitted by the Indenture; provided, that such joint venture is between or among the Company and/or any of its Subsidiaries on the one hand and third parties that are not otherwise
Affiliates of the Company on the other hand; 
 (e) transactions between or among the Company and/or its
Restricted Subsidiaries; 
 (f) transactions with a Person (other than an Unrestricted Subsidiary) that is an
Affiliate of the Company solely because the Company or a Restricted Subsidiary owns an Equity Interest in, or controls, such Person; 

(g) sales of Equity Interests (other than Disqualified Stock) to Affiliates of the Company and the granting of
registration and other customary rights in connection therewith; 
  

 38 

 (h) Restricted Payments and Permitted Investments that are permitted by
Section 4.01 of this Sixth Supplemental Indenture; 
 (i) transactions complying with Section 5.01 of
this Sixth Supplemental Indenture; and 
 (j) pledges of Equity Interests of Unrestricted Subsidiaries.

 Section 4.06. Liens. The Company shall not, and shall not permit any of its Restricted Subsidiaries to, directly
or indirectly, create, incur, assume or suffer to exist any Lien of any kind securing pari passu or subordinated Indebtedness, or trade payables on any asset now owned or hereafter acquired, except Permitted Liens, unless (a) in the case
of any Lien securing pari passu Indebtedness, the Notes are secured by a Lien that is senior in priority to or pari passu with such Lien and (b) in the case of any Lien securing subordinated Indebtedness, the Notes are secured by
a Lien that is senior in priority to such Lien. 
 Any Lien created for the benefit of Holders pursuant to the preceding
paragraph shall provide by its terms that any such Lien shall be automatically and unconditionally released and discharged upon the release and discharge of the Lien on such other Indebtedness. 

Section 4.07. Offer to Repurchase Upon Change of Control. If a Change of Control occurs, unless the Company has exercised its
right to redeem all of the Notes pursuant to Section 3.01 of this Sixth Supplemental Indenture, each Holder of Notes will have the right to require the Company to repurchase all or any part (equal to $2,000 or an integral multiple of $1,000 in
excess thereof) of that Holder’s Notes pursuant to a Change of Control Offer on the terms set forth herein. In the Change of Control Offer, the Company will offer a Change of Control Payment in cash equal to 101% of the aggregate principal
amount of Notes repurchased plus accrued and unpaid interest, if any, on the Notes repurchased, to (but not including) the date of purchase. Within 30 days following any Change of Control, the Company will mail a notice to each Holder stating the
transaction or transactions that constitute the Change of Control and offering to repurchase Notes on the Change of Control Payment Date specified in the notice, which date will be no earlier than 30 days and no later than 60 days from the date such
notice is mailed, pursuant to the procedures required hereby and described in such notice. The Company will comply with the requirements of Rule 14e-1 under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and
any other securities laws and regulations thereunder to the extent those laws and regulations are applicable in connection with the repurchase of the Notes as a result of a Change of Control. To the extent that the provisions of any securities laws
or regulations conflict with the Change of Control provisions hereof, the Company will comply with the applicable securities laws and regulations and will not be deemed to have breached its obligations under this Section 4.07 by virtue of such
conflict. 
 On the Change of Control Payment Date, the Company will, to the extent lawful: 

(a) accept for payment all Notes or portions of Notes properly tendered pursuant to the Change of Control Offer;

 (b) deposit with the Paying Agent an amount equal to the Change of Control Payment in respect of all Notes or
portions of Notes properly tendered; and 
 (c) deliver or cause to be delivered to the Trustee the Notes
properly accepted together with an Officers’ Certificate stating the aggregate principal amount of Notes or portions of Notes being purchased by the Company. 

 

 39 

 The Paying Agent will promptly mail to each Holder of Notes properly tendered the Change of
Control Payment for such Notes, and the Trustee will promptly authenticate and mail (or cause to be transferred by book entry) to each Holder a new Note equal in principal amount to any unpurchased portion of the Notes surrendered, if any;
provided that each new Note will be in a principal amount of $2,000 or an integral multiple of $1,000 in excess thereof. 

Prior to complying with any of the provisions of this Section 4.07, but in any event within 90 days following a Change of Control,
the Company will either repay all outstanding Senior Debt or obtain the requisite consents, if any, under all agreements governing outstanding Senior Debt to permit the repurchase of Notes required by this Section 4.07. The Company will
publicly announce the results of the Change of Control Offer on or as soon as practicable after the Change of Control Payment Date. 

Notwithstanding anything to the contrary in this Section 4.07, the Company will not be required to make a Change of Control Offer
upon a Change of Control if a third party makes the Change of Control Offer in the manner, at the times and otherwise in compliance with the requirements set forth in this Section 4.07 and all other provisions of the Indenture applicable to a
Change of Control Offer made by the Company and purchases all Notes properly tendered and not withdrawn under the Change of Control Offer. Any Change of Control Offer may be made in advance of, and conditioned on the consummation of, such Change of
Control. 
 Section 4.08. No Senior Subordinated Debt. The Company shall not incur, create, issue, assume, Guarantee
or otherwise become liable for any Indebtedness that is subordinate or junior in right of payment to any Senior Debt of the Company and senior in any respect in right of payment to the Notes. No Guarantor will incur, create, issue, assume, guarantee
or otherwise become liable for any Indebtedness that is subordinate or junior in right of payment to the Senior Debt of such Guarantor and senior in any respect in right of payment to such Guarantor’s Subsidiary Guarantee. The foregoing
limitations will not apply to distinctions between categories of Indebtedness that exist by reason of any Liens arising or created in respect of some but not all such Indebtedness. 

Section 4.09. Additional Subsidiary Guarantees. If the Company or any of its Restricted Subsidiaries acquires or creates
another Domestic Subsidiary after the Issue Date, then that newly acquired or created Domestic Subsidiary (other than an Excluded Subsidiary) will become a Guarantor and execute a supplemental indenture and deliver an opinion of counsel satisfactory
to the Trustee as promptly as possible after the end of the fiscal quarter in which it was acquired or created. 

Section 4.10. Activities of Purchasing. Purchasing and its Subsidiaries (if any) will not engage in any activities other than
the type of business conducted by Purchasing on the Issue Date and any activities incidental thereto and will not hold any assets not related to such business or incidental activities. 

Section 4.11. Designation of Restricted and Unrestricted Subsidiaries. The Board of Directors of the Company may designate
any Restricted Subsidiary to be an Unrestricted Subsidiary if that designation would not cause a Default. If a Restricted Subsidiary is designated as an Unrestricted Subsidiary, the aggregate fair market value of all outstanding Investments owned by
the Company and its Restricted Subsidiaries in the Subsidiary so designated will be deemed to be an Investment made as of the time of the designation and will reduce the amount available for Restricted Payments under the first paragraph of
Section 4.01 or Permitted Investments, as determined by the Company. That designation will only be permitted if the Investment would be permitted at that time and if the Restricted Subsidiary otherwise meets the definition of an Unrestricted
Subsidiary. The Board of Directors of the Company may redesignate any Unrestricted Subsidiary to be a Restricted Subsidiary if the redesignation would not cause a Default. 
  

 40 

 Section 4.12. Covenant Removal. From and after the first date on which both
(a) the Notes are rated Investment Grade by each of Moody’s Investor Service, Inc. (“Moody’s”) and Standard & Poor’s Ratings Group (“S&P”) and (b) there shall not exist a
Default or Event of Default under the Indenture (a “Rating Event”), the Company and the Restricted Subsidiaries will no longer be subject to Sections 4.01, 4.02, 4.03 (including the application of such Section 4.03 to the
designation of an Unrestricted Subsidiary as a Restricted Subsidiary), 4.04, 4.05, 4.09, and clause (d) of the first paragraph of Section 5.01 of this Sixth Supplemental Indenture. Upon the occurrence of a Rating Event, the Subsidiary
Guarantees of each of the Guarantors will be automatically released. 
 In addition, at no time after a Rating Event will the
provisions and covenants contained herein at the time of issuance of the Notes that cease to be applicable after the Rating Event be reinstated. 

In the event Moody’s or S&P is no longer in existence or issuing ratings, such organization may be replaced by a nationally
recognized statistical rating organization (as defined in Rule 436 under the Securities Act) designated by the Company with notice to the Trustee and the foregoing provisions will apply to the rating issued by the replacement rating agency.

 Section 4.13. Reports. Whether or not required by the Commission, so long as any Notes are outstanding, the
Company will furnish to the Holders of Notes and file with the Commission (unless the Commission will not accept such filing), within the time periods specified in the Commission’s rules and regulations: 

(a) all quarterly and annual financial information that would be required to be contained in a filing with the Commission
on Forms 10-Q and 10-K if the Company were required to file such Forms, including a “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and, with respect to the annual information only, a report on
the annual financial statements by the Company’s certified independent accountants; and 
 (b) all current
reports that would be required to be filed with the Commission on Form 8-K if the Company were required to file such reports; 

provided, that any information accepted for filing with the Commission shall be deemed to have been furnished to Holders of the Notes. 

The Company shall at all times comply with TIA § 314(a). 

ARTICLE V 

SUCCESSOR CORPORATION 

The Notes shall not be subject to Article 5 of the Base Indenture. In lieu thereof, the Notes shall be subject to the following
provisions of this Article V: 
 Section 5.01. Merger, Consolidation or Sale of Assets. The Company shall not,
directly or indirectly: (1) consolidate or merge with or into another Person (whether or not the Company is the surviving corporation); or (2) sell, assign, transfer, convey or otherwise dispose of all or substantially all of the
properties or assets of the Company and its Restricted Subsidiaries taken as a whole, in one or more related transactions, to another Person; unless: 

(a) either: (i) the Company is the surviving corporation; or (ii) the Person formed by or surviving any such
consolidation or merger (if other than the Company) or to which such sale, 
  

 41 

 
assignment, transfer, conveyance or other disposition has been made is a corporation organized or existing under the laws of the United States, any state of the United States or the District of
Columbia; 
 (b) the Person formed by or surviving any such consolidation or merger (if other than the Company)
or the Person to which such sale, assignment, transfer, conveyance or other disposition has been made assumes all the obligations of the Company under the Notes and the Indenture pursuant to agreements reasonably satisfactory to the Trustee;

 (c) immediately after such transaction, on a pro forma basis giving effect to such transaction or series of
transactions (and treating any obligation of the Company or any Restricted Subsidiary incurred in connection with or as a result of such transaction or series of transactions as having been incurred at the time of such transaction), no Default or
Event of Default exists; and 
 (d) except in the case of a transaction entered into to reincorporate the Company
in another jurisdiction, the Company or the Person formed by or surviving any such consolidation or merger (if other than the Company), or to which such sale, assignment, transfer, conveyance or other disposition has been made, will, on the date of
such transaction after giving pro forma effect thereto and any related financing transactions as if the same had occurred at the beginning of the applicable four-quarter period, (i) be permitted to incur at least $1.00 of additional
Indebtedness pursuant to the Fixed Charge Coverage Ratio test set forth in the first paragraph of Section 4.03 of this Sixth Supplemental Indenture or (ii) have a Fixed Charge Cover Ratio that is no worse than the Fixed Charge Cover Ratio
of the Company for such applicable four-quarter period without giving pro forma effect to such transactions and the related financing transactions. 

In addition, the Company may not, directly or indirectly, lease all or substantially all of the properties or assets of the Company and
its Restricted Subsidiaries, taken as a whole, in one or more related transactions, to any other Person. This Section 5.01 will not apply to a sale, assignment, transfer, conveyance or other disposition of assets between or among the Company
and any of the Guarantors. 
 Section 5.02. Successor Corporation Substituted. Upon any consolidation or merger, or
any sale, assignment, transfer, conveyance, transfer or other disposition of all or substantially all of the properties or assets of the Company and its Restricted Subsidiaries, taken as a whole, in accordance with the provisions of
Section 5.01 of this Sixth Supplemental Indenture, the successor Person formed by such consolidation or into which the Company is merged or to which such sale, assignment, transfer, conveyance or other disposition is made, shall succeed to, and
be substituted for, and may exercise every right and power of, the Company under the Indenture with the same effect as if such successor had been named as the Company therein. When a successor assumes all the obligations of its predecessor under the
Indenture and the Notes following a consolidation or merger, or any sale, assignment, transfer, conveyance, transfer or other disposition of all or substantially all of the assets of the predecessor in accordance with the foregoing provisions, the
predecessor shall be released from those obligations. 
 ARTICLE VI 

DEFAULTS 

The Notes shall not be subject to Section 6.01 or Section 6.02 of the Base Indenture. In lieu thereof, the Notes shall be
subject to the following provisions of Section 6.01 and Section 6.02 of this Sixth Supplemental Indenture: 

Section 6.01. Events of Default. An “Event of Default” occurs if: 

(a) the Company defaults in the payment when due of interest on the Notes and such default continues for a period of 30
days, whether or not such payment is prohibited by Article 11 of the Base Indenture; 
  

 42 

 (b) the Company defaults in the payment when due of principal of or premium,
if any, on the Notes (including the failure to repurchase Notes pursuant to a Change of Control Offer or Asset Sale Offer) when the same becomes due and payable at maturity, upon redemption (including in connection with an offer to purchase) or
otherwise, whether or not such payment is prohibited by Article 11 of the Base Indenture; 
 (c) the Company or
any of its Restricted Subsidiaries fails to comply with any of the provisions of Section 5.01 of this Sixth Supplemental Indenture; 

(d) the Company or any of its Restricted Subsidiaries fails to observe or perform any other covenant or other agreement in
the Indenture or the Notes for 60 days after notice to the Company by the Trustee or the Holders of at least 25% aggregate principal amount of the Notes then outstanding voting as a single class; 

(e) the Company or any of its Restricted Subsidiaries defaults under any mortgage, indenture or instrument under which
there may be issued or by which there may be secured or evidenced any Indebtedness for money borrowed by the Company or any of its Restricted Subsidiaries (or the payment of which is guaranteed by the Company or any of its Restricted Subsidiaries)
whether such Indebtedness or Guarantee exists as of the Issue Date, or is created after the Issue Date, if that default: 

(i) is caused by a failure to pay principal of such Indebtedness at its final stated maturity after giving effect to any
grace period provided in such Indebtedness on the date of such default (a “Payment Default”); or 

(ii) results in the acceleration of such Indebtedness prior to its express maturity, 

and, in each case, the principal amount of any such Indebtedness, together with the principal amount of any other such Indebtedness under
which there has been a Payment Default or the maturity of which has been so accelerated, aggregates $100.0 million or more; 

(f) the Company or any of its Restricted Subsidiaries fail to pay final, non-appealable judgments aggregating in excess of
$100.0 million that are not covered by insurance or as to which an insurer has not acknowledged coverage in writing, which judgments are not paid, discharged or stayed for a period of 60 days; 

(g) the Company or any of its Restricted Subsidiaries that is a Significant Subsidiary pursuant to or within the meaning
of Bankruptcy Law: 
 (i) commences a voluntary case, 

(ii) consents to the entry of an order for relief against it in an involuntary case, 

 

 43 

 (iii) consents to the appointment of a custodian of it or for all or
substantially all of its property, 
 (iv) makes a general assignment of the benefit of its creditors, or

 (v) generally is not paying its debts as they become due; 

(h) a court of competent jurisdiction enters an order or decree under any Bankruptcy Law that: 

(i) is for relief against the Company or any of its Restricted Subsidiaries that is a Significant Subsidiary in an
involuntary case; 
 (ii) appoints a custodian of the Company or any of its Restricted Subsidiaries or for all or
substantially all of the property of the Company or any of its Restricted Subsidiaries that is a Significant Subsidiary; or 

(iii) orders the liquidation of the Company or any of its Restricted Subsidiaries that is a Significant Subsidiary;

 and the order or decree remains unstayed and in effect for 60 consecutive days; or 

(i) except as permitted by the Indenture, any Subsidiary Guarantee of a Significant Subsidiary shall be held in any final,
non-appealable judicial proceeding to be unenforceable or invalid or shall cease for any reason to be in full forced and effect or any Guarantor that is a Significant Subsidiary, or any Person acting on behalf of any such Guarantor, shall deny or
disaffirm its obligations under its Subsidiary Guarantee. 
 A Default under clause (d) is not an Event of Default in
respect of the Notes until the Trustee or the Holders of at least 25% in principal amount of the Notes then outstanding notify the Company of the Default and the Company does not cure such default within the time specified after receipt of such
notice. Such notice must specify the Default, demand that it be remedied and state that such notice is a “Notice of Default.” 

Section 6.02. Acceleration. If any Event of Default (other than an Event of Default specified in clause (g) or
(h) of Section 6.01 of this Sixth Supplemental Indenture with respect to the Company) occurs and is continuing, the Trustee or the Holders of at least 25% in principal amount of the then outstanding Notes may declare all the Notes to be
due and payable immediately. Upon any such declaration, the Notes shall become due and payable immediately. Notwithstanding the foregoing, if an Event of Default specified in clause (g) or (h) of Section 6.01 of this Sixth
Supplemental Indenture occurs with respect to the Company, all outstanding Notes shall be due and payable immediately without further action or notice. The Holders of a majority in aggregate principal amount of the then outstanding Notes by written
notice to the Trustee may on behalf of all of the Holders rescind an acceleration and its consequences if all existing Events of Default (except nonpayment of principal, interest or premium that has become due solely because of the acceleration)
have been cured or waived. 
 Section 6.03. Applicability of Certain Other Provisions. The Notes shall be subject to
Sections 6.03 through 6.11 of the Base Indenture, except that the reference in Section 6.08 of the Base Indenture to clauses (a) or (b) of Section 6.01 of the Base Indenture shall be changed to clauses (a) or (b) of
Section 6.01 of this Sixth Supplemental Indenture. 
  

 44 

 Section 6.04. Notice. Upon becoming aware of any Default or Event of Default,
the Company shall deliver to the Trustee a statement specifying such Default or Event of Default. 
 ARTICLE VII

 AMENDMENT, SUPPLEMENT AND WAIVER 

Section 7.01. Applicability of Certain Provisions. The Notes shall be subject to Article 9 of the Base Indenture, except
that: 
 (i) Section 9.01 of the Base Indenture shall be changed to remove clauses (a) through
(j) thereof and insert the following in place thereof: 
 (a) to cure any ambiguity, defect or
inconsistency; 
 (b) to provide for uncertificated Notes in addition to or in place of certificated notes;

 (c) to provide for the assumption of the Company’s or a Guarantor’s obligations to Holders of Notes
in the case of a merger or consolidation or sale of all or substantially all of the Company’s or a Guarantor’s assets; 

(d) to make any change that would provide any additional rights or benefits to the Holders of Notes or that does not
adversely affect the legal rights under the indenture of any such Holder; 
 (e) to comply with requirements of
the Commission in order to effect or maintain the qualification of the Indenture under the Trust Indenture Act; 

(f) to allow any Guarantor to execute a supplemental indenture and/or a Subsidiary Guarantee with respect to the Notes;

 (g) to evidence and provide the acceptance of the appointment of a successor trustee under the Indenture;

 (h) to mortgage, pledge, hypothecate or grant a security interest in favor of the trustee for the benefit of
the Holders of Notes as additional security for the payment and performance of The Company’s or a Guarantor’s obligations; 

(i) to release a Guarantor from its Subsidiary Guarantee pursuant to the terms of the Indenture when permitted or required
pursuant to the terms of this Sixth Supplemental Indenture; or 
 (j) to conform the text of this Sixth
Supplemental Indenture, the Notes or the Subsidiary Guarantees to any provision of the “Description of notes” contained in the Prospectus Supplement dated May 13, 2010 to the extent that such provision in this Sixth Supplemental
Indenture, the Notes or the Subsidiary Guarantees was intended to be a verbatim recitation of a provision of the “Description of notes.” 

(ii) Section 9.02 of the Base Indenture shall be changed to insert the words “(including Sections 3.04, 4.04 and
4.07 of the Sixth Supplemental Indenture to this Indenture)” after the words “... the Company and the Trustee may amend this Indenture” in the first sentence thereof; and 

 

 45 

 (iii) Section 9.02 of the Base Indenture shall be changed to remove
clauses (a) through (e) thereof and insert the following in place thereof: 
 (a) reduce the principal
amount of Notes whose Holders must consent to an amendment, supplement or waiver; 
 (b) reduce the principal of
or change the fixed maturity of any Note or alter any of the provisions with respect to the redemption of the Notes except as provided above with respect to Sections 3.04, 4.04 and 4.07 of the Sixth Supplemental Indenture to this Indenture and other
than notice provisions with respect to any optional redemption by the Company; 
 (c) reduce the rate of or
change the time for payment of interest, including default interest, on any Note; 
 (d) waive a Default or Event
of Default in the payment of principal of, or interest or premium on the Notes (except a rescission of acceleration of the Notes by the Holders of at least a majority in aggregate principal amount of the then outstanding Notes and a waiver of the
payment default that resulted from such acceleration); 
 (e) make any Note payable in money other than that
stated in the Notes; 
 (f) make any change in the provisions of this Indenture relating to waivers of past
Defaults or the rights of Holders of Notes to receive payments of principal of or interest or premium on the Notes; 

(g) after the date of an event giving rise to a redemption, waive a redemption payment with respect to any note (other
than a payment required by Sections 3.04, 4.04 or 4.07 of the Sixth Supplemental Indenture to this Indenture); 

(h) release any Guarantor from any of its obligations under its Subsidiary Guarantee or this Indenture, except in
accordance with the terms of this Indenture; or 
 (i) make any change in the preceding amendment and waiver
provisions. 
 Notwithstanding the foregoing, any amendment to, or waiver of, the provisions of this
Indenture relating to subordination that adversely affects the rights of Holders of the Notes shall require the consent of the Holders of at least 66 2
/3% in aggregate principal amount of Notes then outstanding. Section 2.10 of the Base Indenture shall determine which Notes are considered to
be “outstanding” for purposes of this Section 9.02. 
 ARTICLE VIII 

NO SINKING FUND 

Section 8.01. Applicability of Certain Provisions. The Notes shall not be subject to Article 10 of the Base Indenture.

  

 46 

 ARTICLE IX 

LEGAL DEFEASANCE AND COVENANT DEFEASANCE 

Section 9.01. Applicability of Certain Provisions. The Notes shall be subject to Article 8 of the Base Indenture, except
that: 
 (a) the portions of the Indenture from which the Company and the Guarantors shall be released upon
Covenant Defeasance pursuant to Section 8.03 of the Base Indenture shall, in addition to Section 4.06 and Article 12 of the Base Indenture, also include Sections 3.04 and 4.01 through 4.11 and Articles V and X of this Sixth Supplemental
Indenture, and shall not include Article 5 of the Base Indenture; 
 (b) the provisions of the Indenture which,
upon Covenant Defeasance, shall not constitute Events of Default shall include Sections 6.01(c), (d), (e), (f) and (i) of this Sixth Supplemental Indenture and shall not include Sections 6.01 (c), (d) and (g) of the Base
Indenture; and 
 (c) Section 8.04 of the Base Indenture shall be amended by adding the following additional
conditions: 
 “(d) no Default or Event of Default has occurred and is continuing on the date of such
deposit (other than a Default or Event of Default resulting from the borrowing of funds to be applied to such deposit and the grant of any lien securing such borrowing); 

(e) such Legal Defeasance or Covenant Defeasance will not result in a breach or violation of, or constitute a default
under any material agreement or instrument (other than the Indenture and the agreements governing any other Indebtedness being defeased, discharged or replaced) to which the Company or any of its Subsidiaries is a party or by which the Company or
any of its Subsidiaries is bound; 
 (f) the Company must deliver to the Trustee an Officers’ Certificate
stating that the deposit was not made by the Company with the intent of preferring the Holders of Notes over the other creditors of the Company with the intent of defeating, hindering, delaying or defrauding creditors of the Company or others; and

 (g) the Company must deliver to the Trustee an Officers’ Certificate and an Opinion of Counsel, each
stating that all conditions precedent relating to the Legal Defeasance or the Covenant Defeasance have been complied with or waived.” 

Notwithstanding the foregoing, the opinion of counsel with respect to a legal defeasance required by clause (b) of Section 8.04
of the Base Indenture need not be delivered if all Notes not theretofore delivered to the Trustee for cancellation (i) have become due and payable or (ii) will become due and payable on the maturity date within one year under arrangements
satisfactory to the Trustee for the giving of notice of redemption by the Trustee in the name, and at the expense, of the Company. 
  

 47 

 ARTICLE X 

SUBSIDIARY GUARANTEES 

Section 10.01. Subsidiary Guarantees. The Notes shall be guaranteed by each of the Guarantors (each a “Subsidiary
Guarantee”) in accordance with the provisions of Article 12 of the Base Indenture and the provisions of this Article X. 

Section 10.02. Subsidiary Guarantors May Consolidate, etc., on Certain Terms. A Guarantor may not sell or otherwise dispose
of all or substantially all of its assets to, or consolidate with or merge with or into (whether or not such Guarantor is the surviving Person), another Person, other than the Company or another Guarantor, unless: 

(a) immediately after giving effect to that transaction, no Default or Event of Default exists; and 

(b) subject to the provisions of Section 10.03 of this Sixth Supplemental Indenture, the Person acquiring the
property in any such sale or disposition or the Person formed by or surviving any such consolidation or merger assumes all the obligations of that Guarantor under the Indenture and its Subsidiary Guarantee pursuant to a supplemental indenture
satisfactory to the Trustee. 
 In case of any such consolidation, merger, sale or conveyance and, subject to the provisions of
Section 10.03 of this Sixth Supplemental Indenture, upon the assumption by the successor Person, by supplemental indenture, executed and delivered to the Trustee and satisfactory in form to the Trustee, of the Subsidiary Guarantee and the due
and punctual performance of all of the covenants and conditions of the Indenture to be performed by the Guarantor, such successor Person shall succeed to and be substituted for the Guarantor with the same effect as if it had been named herein as a
Guarantor. All the Subsidiary Guarantees so issued shall in all respects have the same legal rank and benefit under the Indenture as the Subsidiary Guarantees theretofore and thereafter issued in accordance with the terms of this Indenture as though
all of such Subsidiary Guarantees had been issued at the date of the execution of this Sixth Supplemental Indenture. 
 Except
as set forth in Articles IV and V of this Sixth Supplemental Indenture, and notwithstanding clauses (a) and (b) above, nothing contained in the Indenture or in any of the Notes shall prevent any consolidation or merger of a Guarantor with
or into the Company or another Guarantor, or shall prevent any sale or conveyance of the property of a Guarantor as an entirety or substantially as an entirety to the Company or another Guarantor. 

Section 10.03. Releases. The Subsidiary Guarantee of a Guarantor will be released, and any Person acquiring assets (including
by way of merger or consolidation) or Capital Stock of a Guarantor shall not be required to assume the obligations of any such Guarantor: 

(a) in connection with any sale or other disposition of all or substantially all of the assets of that Guarantor
(including by way of merger or consolidation) to a Person that is not (either before or after giving effect to such transaction) a Restricted Subsidiary, if the sale complies with Sections 3.04 and 4.04 of this Sixth Supplemental Indenture;

 (b) in connection with any sale of a majority of the Capital Stock of a Guarantor to a Person that is not
(either before or after giving effect to such transaction) a Restricted Subsidiary, if the sale complies with Sections 3.04 and 4.04 of this Sixth Supplemental Indenture; 
  

 48 

 (c) if the Company designates any Restricted Subsidiary that is a Guarantor
to be an Unrestricted Subsidiary or an Excluded Subsidiary in accordance with the requirements of this Sixth Supplemental Indenture; 

(d) if any Guarantor is otherwise no longer obligated to provide a Subsidiary Guarantee pursuant to this Indenture;

 (e) if such Guarantor’s guarantee of any obligations under the Credit Agreement, or if the Credit
Agreement is no longer outstanding, any other Indebtedness of the Company, is fully and unconditionally released, except that such Guarantor shall subsequently be required to become a Guarantor by executing a supplemental indenture and providing the
Trustee with an Officers’ Certificate and Opinion of Counsel at such time as it guarantees any obligations under the Credit Agreement, or if the Credit Agreement is no longer outstanding, any other Indebtedness of the Company; or 

(f) upon the Company’s exercise of its legal defeasance option or covenant defeasance option as described under
Article IX of this Sixth Supplemental Indenture or if the Company’s obligations under the Indenture and the Notes are discharged in accordance with the terms of the Indenture. 

Section 10.04. Amendment to Section 12.03. Section 12.03 of the Base Indenture shall be amended by adding the
following sentence at the end of the paragraph: 
 “For the avoidance of doubt, the provisions of Section 11.05 of the
Base Indenture apply in respect of any payments received by the Trustee or a Holder pursuant to a Subsidiary Guarantee of the Notes only to Senior Debt of the relevant Guarantor and not to Senior Debt of the Company (including the 3.25% Convertible
Senior Debentures due 2035).” 
 ARTICLE XI 

SATISFACTION AND DISCHARGE 

Section 11.01. Applicability of Certain Provisions. The Notes shall be subject to Article 13 of the Base Indenture, except
that Section 13.01 of the Base Indenture shall be amended to add the following provisions after paragraph (c) thereof: 

“(d) no Default or Event of Default has occurred and is continuing on the date of the deposit (other than a Default or Event of
Default resulting from the borrowing of funds to be applied to such deposit and any similar deposit relating to other Indebtedness and, in each case, the granting of Liens to secure such borrowing) and the deposit will not result in a breach or
violation of, or constitute a default under, any other instrument to which the Company or any Guarantor is a party or by which the Company or any Guarantor is bound (other than with respect to the borrowing of funds to make the deposit required to
effect such satisfaction and discharge and any similar deposit relating to other Indebtedness and in each case the granting of Liens to secure such borrowings); and 

(e) the Company has delivered irrevocable instructions to the Trustee under the Indenture to apply the deposited money toward the payment
of the Notes at maturity or the redemption date, as the case may be.” 
  

 49 

 ARTICLE XII 

SUBORDINATION 

Section 12.01. Applicability of Certain Provisions. The Notes shall be subject to Article 11 of the Base Indenture, except
that the following phrase shall be deleted from the last sentence of Section 11.03(a)(ii): 
 “unless such default
shall have been waived for a period of not less than 90 days.” 
 ARTICLE XIII 

MISCELLANEOUS 

Section 13.01. Scope of this Sixth Supplemental Indenture. The changes, modifications and supplements to the Indenture
effected by this Sixth Supplemental Indenture shall only be applicable with respect to, and govern the terms of, the Notes and shall not apply to any other Securities that may be issued by the Company under the Indenture. 

Section 13.02. Ratification of Indenture. The Indenture, as supplemented by this Sixth Supplemental Indenture, is in all
respects ratified and confirmed, and this Sixth Supplemental Indenture shall be deemed part of the Indenture in the manner and to the extent herein and therein provided. 

Section 13.03. Trustee Not Responsible for Recitals. The recitals therein contained are made by the Company and not by the
Trustee, and the Trustee assumes no responsibility for the correctness thereof. The Trustee makes no representation as to the validity or sufficiency of this Sixth Supplemental Indenture. 

Section 13.04. Separability. In case any one or more of the provisions contained in this Sixth Supplemental Indenture or in
the Notes shall for any reason be held to be invalid, illegal or unenforceable in any respect, such invalidity, illegality or unenforceability shall not affect any other provisions of this Sixth Supplemental Indenture or of the Notes, but this Sixth
Supplemental Indenture and the Notes shall be construed as if such invalid or illegal or unenforceable provision had never been contained herein or therein. 

Section 13.05. Counterparts. This Sixth Supplemental Indenture may be executed in any number of counterparts each of which
shall be an original; but such counterparts shall together constitute but one and the same instrument. 
 Section 13.06.
GOVERNING LAW. THE INTERNAL LAW OF THE STATE OF NEW YORK SHALL GOVERN AND BE USED TO CONSTRUE THIS SIXTH SUPPLEMENTAL INDENTURE AND THE NOTES, WITHOUT GIVING EFFECT TO APPLICABLE PRINCIPLES OF CONFLICT OF LAW TO THE EXTENT THAT THE
APPLICATION OF THE LAWS OF ANOTHER JURISDICTION WOULD BE REQUIRED THEREBY. 
  

 50 

 IN WITNESS WHEREOF, the parties hereto have caused this Sixth Supplemental Indenture to be
duly executed as of the date first above written. 
  

			
	OMNICARE, INC.
		
	By:	 	 /s/ John L. Workman

	Name:	 	John L. Workman
	Title:	 	Executive Vice President and Chief Financial Officer
	
	U.S. BANK NATIONAL ASSOCIATION, as Trustee
		
	By:	 	 /s/ Wm. Bryan Echols

	Name:	 	Wm. Bryan Echols
	Title:	 	Vice President
	
	[GUARANTOR SIGNATURES BEGIN ON FOLLOWING PAGE]

  

 51 

 On Behalf of: 

3096479 DELAWARE COMPANY, LLC 
 ACCU-MED SERVICES
LLC 
 ACCU-MED SERVICES OF WASHINGTON LLC 

AMBLER ACQUISITION COMPANY LLC 
 AMC-NEW YORK,
INC. 
 AMC-TENNESSEE, INC. 

BACH’S PHARMACY SERVICES, LLC 
 BADGER
ACQUISITION OF OHIO LLC 
 BIO-PHARM INTERNATIONAL, INC. 

BPNY ACQUISITION CORP. 
 BPTX ACQUISITION CORP.

 CAMPO’S MEDICAL PHARMACY, INC. 

CARE PHARMACEUTICAL SERVICES, LP 
 CHP
ACQUISITION CORP. 
 CIP ACQUISITION CORP. 

CLINIMETRICS RESEARCH ASSOCIATES, INC. 

COMPSCRIPT-BOCA LLC 
 COMPSCRIPT - MOBILE, INC.

 CP ACQUISITION CORP. 
 CTLP
ACQUISITION LLC 
 DIXON PHARMACY LLC 

ENLOE DRUGS LLC 
 EURO BIO-PHARM CLINICAL
SERVICES, INC. 
 THE HARDARDT GROUP, INC. 

HIGHLAND WHOLESALE LLC 
 HMIS, INC. 

HOME PHARMACY SERVICES LLC 
 HYTREE PHARMACY,
INC. 
 JHC ACQUISITION LLC 
 LPA
ACQUISITION COMPANY, LLC 
 LPI ACQUISITION CORP. 

MANAGED HEALTHCARE, INC. 
 MANAGEMENT &
NETWORK SERVICES, INC. 
 MED WORLD ACQUISITION CORP. 

MEDICAL ARTS HEALTH CARE, INC. 
 MEDICAL SERVICES
CONSORTIUM, INC. 
 MHHP ACQUISITION COMPANY LLC 

MOSI ACQUISITION CORP. 
 NATIONAL CARE FOR
SENIORS LLC 
 NCIA ACQUISITION COMPANY, LLC 

NCS HEALTHCARE OF ARIZONA, INC. 
 NCS HEALTHCARE
OF ARKANSAS, INC. 
 NCS HEALTHCARE OF CONNECTICUT, INC. 

NCS HEALTHCARE OF FLORIDA, INC. 
  

 52 

 NCS HEALTHCARE OF INDIANA LLC 

NCS HEALTHCARE OF INDIANA, INC. 
 NCS HEALTHCARE
OF MASSACHUSETTS, INC. 
 NCS HEALTHCARE OF MICHIGAN, INC. 

NCS HEALTHCARE OF MINNESOTA, INC. 
 NCS
HEALTHCARE OF MISSOURI, INC. 
 NCS HEALTHCARE OF MONTANA, INC. 

NCS HEALTHCARE OF NEW HAMPSHIRE, INC. 
 NCS
HEALTHCARE OF NEW JERSEY, INC. 
 NCS HEALTHCARE OF NEW MEXICO, INC. 

NCS HEALTHCARE OF NORTH CAROLINA, INC. 
 NCS
HEALTHCARE OF OKLAHOMA, INC. 
 NCS HEALTHCARE OF OREGON, INC. 

NCS HEALTHCARE OF PENNSYLVANIA, INC. 
 NCS
HEALTHCARE OF SOUTH CAROLINA, INC. 
 NCS HEALTHCARE OF TENNESSEE, INC. 

NCS HEALTHCARE OF TEXAS, INC. 
 NCS HEALTHCARE OF
VERMONT, INC. 
 NCS OF ILLINOIS, INC. 

NCS SERVICES, INC. 
 NGC ACQUISITION COMPANY LLC

 NIHAN & MARTIN LLC 
 NIV
ACQUISITION LLC 
 OMNIBILL SERVICES LLC 

OMNICARE CANADIAN HOLDINGS, INC. 
 OMNICARE
CLINICAL RESEARCH, INC. 
 OMNICARE CLINICAL RESEARCH, LLC 

OMNICARE CR INC. 
 OMNICARE DISTRIBUTION CENTER
LLC 
 OMNICARE EXTENDED PHARMA SERVICES, LLC 

OMNICARE HEADQUARTERS LLC 
 OMNICARE INDIANA
PARTNERSHIP HOLDING COMPANY LLC 
 OMNICARE MANAGEMENT COMPANY 

OMNICARE OF NEVADA LLC 
 OMNICARE PENNSYLVANIA
MED SUPPLY, LLC 
 OMNICARE PHARMACIES OF MAINE HOLDING COMPANY 

OMNICARE PHARMACIES OF PENNSYLVANIA EAST, LLC 

OMNICARE PHARMACIES OF THE GREAT PLAINS HOLDING COMPANY 

OMNICARE PHARMACY OF FLORIDA, LP 
 OMNICARE
PHARMACY OF INDIANA, LLC 
 OMNICARE PHARMACY OF MAINE LLC 

OMNICARE PHARMACY OF NEBRASKA LLC 
 OMNICARE
PHARMACY OF NORTH CAROLINA, LLC 
 OMNICARE PHARMACY OF PUEBLO, LLC 

OMNICARE PHARMACY OF SOUTH DAKOTA LLC 
 OMNICARE
PHARMACY OF TEXAS 1, LP 
  

 53 

 OMNICARE PHARMACY OF TEXAS 2, LP 

OMNICARE PURCHASING COMPANY GENERAL PARTNER, INC. 

OMNICARE PURCHASING COMPANY LIMITED PARTNER, INC. 

OMNICARE PURCHASING COMPANY LP 
 OMNICARE
RESPIRATORY SERVICES, LLC 
 PBM-PLUS, INC. 

PCI ACQUISITION, LLC 
 PHARMACON CORP.

 PHARMACY ASSOCIATES OF GLENS FALLS, INC. 

PHARMACY CONSULTANTS, INC. 
 PHARMACY HOLDING #1,
LLC 
 PHARMACY HOLDING #2, LLC 

PHARM-CORP OF MAINE LLC 
 PHARMED HOLDINGS, INC.

 PP ACQUISITION COMPANY, LLC 
 PPS
ACQUISITION COMPANY, LLC 
 PSI ARKANSAS ACQUISITION, LLC 

RESCOT SYSTEMS GROUP, INC. 
 ROYAL CARE OF
MICHIGAN LLC 
 SHC ACQUISITION CO, LLC 

SHORE PHARMACEUTICAL PROVIDERS, INC. 
 SOUTHSIDE
APOTHECARY, INC. 
 SPECIALIZED HOME INFUSION OF MICHIGAN LLC 

SPECIALIZED PATIENT CARE SERVICES, INC. 

STERLING HEALTHCARE SERVICES, INC. 
 SUPERIOR
CARE PHARMACY, INC. 
 SWISH, INC. 

TCPI ACQUISITION CORP. 
 THG ACQUISITION CORP.

 THREE FORKS APOTHECARY, INC. 
 UC
ACQUISITION CORP. 
 UNI-CARE HEALTH SERVICES OF MAINE, INC. 

VALUE PHARMACY, INC. 
 VAPS ACQUISITION COMPANY,
LLC 
 VITAL CARE INFUSIONS, INC. 

WEBER MEDICAL SYSTEMS LLC 
 WILLIAMSON DRUG
COMPANY, INCORPORATED 
 WINSLOW’S PHARMACY 

ZS ACQUISITION COMPANY, LLC 
  

			
	         /s/ Bradley S. Abbott

	Name:	 	Bradley S. Abbott
	Title:	 	Treasurer

  

 54 

 On Behalf of: 

ACCUMED, INC. 
 ADVANCED CARE SCRIPTS, INC.

 ARLINGTON ACQUISITION I, INC. 

BADGER ACQUISITION LLC 
 BADGER ACQUISITION OF
BROOKSVILLE LLC 
 BADGER ACQUISITION OF KENTUCKY LLC 

BADGER ACQUISITION OF MINNESOTA LLC 
 BADGER
ACQUISITION OF ORLANDO LLC 
 BADGER ACQUISITION OF TAMPA LLC 

BADGER ACQUISITION OF TEXAS LLC 
 BEST CARE HHC
ACQUISITION COMPANY LLC 
 BEST CARE LTC ACQUISITION COMPANY LLC 

CAPITOL HOME INFUSION, INC. 
 CARECARD, INC.

 CARE4, LP 
 CONCORD PHARMACY
SERVICES, INC. 
 CP SERVICES LLC 

DELCO APOTHECARY, INC. 
 EVERGREEN PHARMACEUTICAL
OF CALIFORNIA, INC. 
 EXCELLERX, INC. 

GENEVA SUB, INC. 
 HORIZON MEDICAL EQUIPMENT AND
SUPPLY, INC. 
 IN-HOUSE PHARMACIES, INC. 

LANGSAM HEALTH SERVICES, LLC 
 LCPS ACQUISITION
LLC 
 LOBOS ACQUISITION OF ARIZONA, INC. 

LOBOS ACQUISITION, LLC 
 NCS HEALTHCARE OF
KENTUCKY, INC. 
 NCS HEALTHCARE OF WASHINGTON, INC. 

NEIGHBORCARE HOLDINGS, INC. 

NEIGHBORCARE-INFUSION SERVICES, INC. 

NEIGHBORCARE OF CALIFORNIA, INC. 
 NEIGHBORCARE
OF MARYLAND, LLC 
 NEIGHBORCARE OF NORTHERN CALIFORNIA, INC. 

NEIGHBORCARE OF OKLAHOMA, INC. 
 NEIGHBORCARE
PHARMACY SERVICES, INC. 
 NEIGHBORCARE REPACKAGING, INC. 

NEIGHBORCARE SERVICES CORPORATION 
 NEIGHBORCARE,
INC. 
 NEIGHBORCARE-MEDISCO, INC. 

OMNICARE ESC LLC 
 OMNICARE HOLDING COMPANY

 OMNICARE PHARMACY AND SUPPLY SERVICES, LLC 

OMNICARE PHARMACY OF COLORADO LLC 
  

 55 

 OMNICARE PHARMACY OF TENNESSEE LLC 

OMNICARE PROPERTY MANAGEMENT, LLC 
 PBM PLUS MAIL
SERVICE PHARMACY, LLC 
 PHARMASOURCE HEALTHCARE, INC. 

PMRP ACQUISITION COMPANY, LLC 
 PROFESSIONAL
PHARMACY SERVICES, INC. 
 RXC ACQUISITION COMPANY 

SUBURBAN MEDICAL SERVICES, LLC 
 THE TIDEWATER
HEALTHCARE SHARED SERVICES GROUP, INC. 
  

			
	         /s/ Thomas R. Marsh

	Name:	 	Thomas R. Marsh
	Title:	 	Treasurer

  

 56 

 On Behalf of: 

ASCO HEALTHCARE OF NEW ENGLAND, LIMITED PARTNERSHIP 

ASCO HEALTHCARE OF NEW ENGLAND, LLC 
 COMPASS
HEALTH SERVICES, LLC 
 ENCARE OF MASSACHUSETTS, LLC 

INSTITUTIONAL HEALTH CARE SERVICES, LLC 
 MEDICAL
SERVICES GROUP, LLC 
 NEIGHBORCARE PHARMACIES, LLC 

 

			
	ASCO Healthcare, LLC., as sole member and general partner with respect to Asco Healthcare of New England, Limited
Partnership

			
		
	By:	 	NeighborCare Pharmacy Services, Inc., as sole member

			
	
	         /s/ Thomas R. Marsh

	Name:	 	Thomas R. Marsh
	Title:	 	Treasurer

  

 57 

 On Behalf of: 

APS ACQUISITION LLC 
 ASCO HEALTHCARE, LLC

 CIC SERVICES LLC 
 COMPSCRIPT, LLC

 D&R PHARMACEUTICAL SERVICES, LLC 

DP SERVICES LLC 
 EVERGREEN PHARMACEUTICAL, LLC

 HOME CARE PHARMACY, LLC 
 INTERLOCK
PHARMACY SYSTEMS, LLC 
 LO-MED PRESCRIPTION SERVICES, LLC 

NCS HEALTHCARE OF IOWA, LLC 
 NCS HEALTHCARE OF
KANSAS, LLC 
 NCS HEALTHCARE OF MARYLAND, LLC 

NCS HEALTHCARE OF OHIO, LLC 
 NCS HEALTHCARE OF
WISCONSIN, LLC 
 NEIGHBORCARE HOME MEDICAL EQUIPMENT LLC 

NEIGHBORCARE-ORCA, LLC 
 NEIGHBORCARE OF OHIO,
LLC 
 NORTH SHORE PHARMACY SERVICES, LLC 

OCR-RA ACQUISITION, LLC 
 OMNICARE OF NEW YORK,
LLC 
 OMNICARE PHARMACIES OF PENNSYLVANIA WEST, LLC 

OMNICARE PHARMACY OF THE MIDWEST, LLC 

ROESCHEN’S HEALTHCARE, LLC 
 SPECIALIZED
PHARMACY SERVICES, LLC 
 VALUE HEALTH CARE SERVICES, LLC 

NCS HEALTHCARE OF ILLINOIS, LLC 
 NCS HEALTHCARE
OF RHODE ISLAND, LLC 
 WESTHAVEN SERVICES CO., LLC 

 

			
	NeighborCare Pharmacy Services, Inc., as sole member
	
	         /s/ Thomas R. Marsh

	Name:	 	Thomas R. Marsh
	Title:	 	Treasurer

  

 58 

 On Behalf of: 

ALCARITAS BIOPHARMA, INC. 
  

			
	Omnicare Clinical Research, Inc., as sole member
	
	         /s/ Bradley S. Abbott

	Name:	 	Bradley S. Abbott
	Title:	 	Treasurer

  

 59 

 On Behalf of: 

NCS HEALTHCARE, LLC 
  

			
	Omnicare Holding Company, as sole member
	
	         /s/ Thomas R. Marsh

	Name:	 	Thomas R. Marsh
	Title:	 	Treasurer

  

 60 

 On Behalf of: 

NEIGHBORCARE OF INDIANA, LLC 

NEIGHBORCARE OF VIRGINIA, LLC 

NEIGHBORCARE OF WISCONSIN, LLC 

 

			
	Omnicare of New York, LLC., as sole member

			
		
	By:	 	NeighborCare Pharmacy Services, Inc., as sole member

			
	
	         /s/ Thomas R. Marsh

	Name:	 	Thomas R. Marsh
	Title:	 	Treasurer

  

 61 

 On Behalf of: 

PRN PHARMACEUTICAL SERVICES, LP 
  

			
	Omnicare Indiana Partnership Holding Company LLC, as general partner
	
	         /s/ Bradley S. Abbott

	Name:	 	Bradley S. Abbott
	Title:	 	Treasurer

  

 62 

 On Behalf of: 

MAIN STREET PHARMACY, L.L.C. 
  

			
	Professional Pharmacy Services, Inc. as manager
	
	         /s/ Thomas R. Marsh

	Name:	 	Thomas R. Marsh
	Title:	 	Treasurer

  

 63 

 On Behalf of: 
  

					
	 THE MEDICINE CENTRE, LLC
	 	
		
		 	ASCO Healthcare, LLC.
		
		 	By: NeighborCare Pharmacy Services, as sole member
		
		 	 /s/ Thomas R. Marsh

		 	Name:	 	Thomas R. Marsh
		 	Title:	 	Treasurer

  

 64 

 Exhibit A 

[Face of Security] 
 [Insert
the Global Security Legend if applicable pursuant to the provisions of the Indenture] 
 CUSIP 681904 AM0 

7.75% Senior Subordinated Notes Due 2020 (the “Notes”) 

No.
 OMNICARE, INC. 

promises to pay to , or registered assigns, the principal sum of $            

 Interest Payment Dates June 1 and December 1, commencing on December 1, 2010. 

Record Dates: May 15 and November 15. 

Dated: 
  

			
	 OMNICARE, INC.

		
	 By:
	 	  

	 Name:
	 	John L. Workman
	 Title:
	 	Executive Vice President and Chief Financial Officer
		
	 By:
	 	  

	 Name:
	 	Cheryl D. Hodges
	 Title:
	 	Senior Vice President and Secretary

 This is one of
the Notes referred to in the within-mentioned Indenture: 
  

			
	 U.S. Bank National Association, As Trustee

		
	 By:
	 	  

		 	Authorized Signatory

  

 A-1 

 [Back of Security] 

7.75% Senior Subordinated Notes Due 2020 

Capitalized terms used herein shall have the meanings assigned to them in the Indenture referred to below unless otherwise indicated.

 1. Interest. 

Omnicare, Inc., a Delaware corporation (herein the “Company” which term includes any successor Person under the Indenture
hereinafter referred to), for value received, hereby promises to pay interest on the principal amount of this Note at the rate per annum shown above from May 18, 2010 or from the most recent Interest Payment Date to which interest has been paid
or duly provided for semiannually on June 1 and December 1 in each year, commencing December 1, 2010, and at the Stated Maturity thereof, until the principal hereof is paid or made available for payment and on any Defaulted Interest
to the extent permitted by law. Interest shall be computed on the basis of a 360-day year of twelve 30-day months. 
 2. Method
of Payment. 
 The Company will pay interest on the Notes on each June 1 and December 1 to the Persons who are
registered Holders of the relevant Notes at the close of business on the May 15 or November 15 next preceding the Interest Payment Date, even if such Notes are cancelled after such record date and on or before such Interest Payment Date,
except as provided in Section 2.14 of the Base Indenture with respect to Defaulted Interest. The Notes will be payable as to principal, premium, if any, and interest at the office or agency of the Company maintained for such purpose within or
without the City and State of New York; provided, however, that at the option of the Company payment of interest may be made by check mailed to the address of the Person entitled thereto as such address shall appear in the list
provided by the Company to the Registrar and provided, further, that payment by wire transfer of immediately available funds will be required with respect to principal of, premium if any and interest on all Global Securities and all
other Notes the Holders of which shall have provided wire transfer instructions to the Company or the Paying Agent. Such payment shall be in such coin or currency of the United States of America as at the time of payment is legal tender for payment
of private debts. 
 3. Paying Agent and Registrar. 

Initially, the Trustee under the Indenture will act as Paying agent and Registrar. The Company may change any Paying Agent or Registrar
without notice to any Holder. The Company or any of its Subsidiaries may act in any such capacity. 
 4. Indenture. 

This Note is one of a duly authorized issue of notes of the Company issued and issuable in one or more series under an Indenture, dated as
of June 13, 2003 (the “Base Indenture”), as supplemented by the Sixth Supplemental Indenture, dated as of May 18, 2010 (the “Sixth Supplemental Indenture” and together with the Base Indenture, the
“Indenture”), between the Company and U.S. Bank National Association (as successor to SunTrust Bank), as Trustee (herein called the “Trustee” which term includes any successor Trustee under the Indenture), to which
Indenture and all indentures supplemental thereto reference is hereby made for a statement of the respective rights, limitations of rights, duties and immunities thereunder of the Company, the Trustees and the Holders of the Notes and of the terms
upon which the Notes are, and are to be, authenticated and delivered. All Notes issued under the Indenture will be treated as a single class of securities under the Indenture. The terms of the Notes include those stated in this Indenture

  

 A-2 

 
and those made a part of this Indenture by reference to the Trust Indenture Act of 1939, as amended (15 U.S. Code §§ 77aaa-77bbbb). The Notes are subject to all such terms, and
Holders are referred to this Indenture and such Act for a statement of such terms. To the extent any provision of this security conflicts with the express provisions of this Indenture, the provisions of this Indenture shall govern and be
controlling. 
 5. Optional Redemption. 

At any time prior to June 1, 2013, the Company may on any one or more occasions redeem up to 35% of the aggregate principal amount of
Notes issued under the Sixth Supplemental Indenture at a redemption price of 107.750% of the principal amount, plus accrued interest, if any, to (but not including) the Redemption Date, with the net cash proceeds of one or more Equity Offerings;
provided that: 
 (a) at least 65% of the aggregate principal amount of Notes issued under this Sixth
Supplemental Indenture remains outstanding immediately after the occurrence of such redemption (excluding Notes held by the Company and its Subsidiaries); and 

(b) the redemption occurs within 180 days of the date of the closing of such Equity Offering. 

At any time prior to June 1, 2015, the Company may redeem all but not part of the Notes, upon not less than 30 nor more than 60
days’ notice, at a redemption price equal to 100% of the principal amount thereof, plus the Applicable Redemption Premium and accrued and unpaid interest to (but not including) the redemption date. 

On or after June 1, 2015, the Company may redeem all or a part of the Notes upon not less than 30 nor more than 60 days’
notice, at the redemption prices (expressed as percentages of principal amount) set forth below plus accrued and unpaid interest, if any on the Notes redeemed, to (but not including) the applicable redemption date, if redeemed during the
twelve-month period beginning on June 1 of the years indicated below: 
  

				
	 Year
	  	Percentage	 
		
	 2015
	  	103.875	% 
	 2016
	  	102.583	% 
	 2017
	  	101.292	% 
	 2018 and thereafter
	  	100.000	% 

 6. Mandatory
Redemption. 
 Except as set forth in paragraph 7 below, the Company shall not be required to make mandatory redemption payments
with respect to the Notes. 
 7. Repurchase at Option of Holder 

If there is a Change of Control, the Company shall be required to make an offer (a “Change of Control Offer”) to
repurchase all or any part (equal to $2,000 or an integral multiple of $1,000 in excess thereof) of each Holder’s Notes at a purchase price equal to 101% of the aggregate principal amount thereof plus accrued and unpaid interest and Liquidated
Damages thereon, if any, to the date of purchase (the “Change of Control Payment”). Within 30 days following any Change of Control, the Company shall mail a notice to each Holder setting forth the procedures governing the Change of
Control Offer as required by this Indenture. 
  

 A-3 

 If the Company or a Subsidiary consummates any Asset Sales, within thirty days of each date
on which the aggregate amount of Excess Proceeds exceeds $75 million, the Company shall commence an offer to all Holders of Notes (an “Asset Sale Offer) pursuant to Section 3.04 of the Sixth Supplemental Indenture to purchase the
maximum principal amount of Notes that may be purchased out of the Excess Proceeds at an offer price in cash in an amount equal to 100% of the principal amount thereof plus accrued and unpaid interest thereon to the date fixed for the closing of
such offer, in accordance with the procedures set forth in this Indenture. To the extent that the aggregate amount of Notes tendered pursuant to an Asset Sale Offer is less than the Excess Proceeds, the Company (or such Subsidiary) may use such
deficiency for general corporate purposes. If the aggregate principal amount of Notes surrendered by Holders thereof exceeds the amount of Excess Proceeds, the Trustee shall select the Notes to be purchased on a pro rata basis. Holders of
Notes that are the subject of an offer to purchase will receive an Asset Sale Offer from the Company prior to any related purchase date and may elect to have such Notes purchased by completing the form entitled “Option of Holder to Elect
Purchase” on the reverse of the Notes. 
 8. Notice of Redemption. 

Notice of redemption will be mailed at least 30 days but not more than 60 days before the redemption date to each Holder whose Notes are
to be redeemed at its registered address. Notes in minimum denominations of $2,000 may be redeemed in part but only in whole multiples of $1,000 in excess thereof, unless all of the Notes held by a Holder are to be redeemed. On and after the
redemption date interest ceases to accrue on Notes or portions thereof called for redemption. 
 9. Denominations, Transfer,
Exchange. 
 As provided in the Indenture and subject to certain limitations therein set forth, Notes of this series are
exchangeable for a like aggregate principal amount of Notes of this series and of like tenor of a different authorized denomination, as requested by the Holder surrendering the same. A holder may register the transfer or exchange of the Security as
provided in the Indenture and subject to certain limitations therein set forth. The Registrar may require a Holder, among other things, to furnish appropriate endorsements and transfer documents and to pay any taxes and fees required by law or
permitted by the Indenture. The Company need not exchange or register the transfer of any Note or portion of a Note selected for redemption, except for the unredeemed portion of any Note being redeemed in part. Also, the Company need not exchange or
register the transfer of any Note for a period of 15 days before a selection of Notes to be redeemed or during the period between a record date and the corresponding Interest Payment Date. 

10. Persons Deemed Owners. 

The registered Holder of a Security may be treated as its owner for all purposes. 

11. Amendment, Supplement and Waiver. 

Subject to certain exceptions, this Indenture and the Notes may be amended or supplemented with the consent of the Holders of at least a
majority in principal amount of the then outstanding Notes of each series affected by such amendment or supplement and any existing default or compliance with any provision may be waived with the consent of the Holders of a majority in principal
amount of the then outstanding Notes of each series affected by such waiver. Without the consent of any Holder of Notes of 
  

 A-4 

 
each series affected by such amendment or supplement, this Indenture and the Notes may be amended or supplemented to, among other things: (a) cure any ambiguity, defect or inconsistency;
(b) provide for uncertificated Notes in addition to or in place of certificated Notes; (c) provide for the assumption of the Company’s or a Guarantor’s obligations to Holders of the Notes in case of a merger or consolidation or
sale of substantially all assets; (d) to make any change that would provide any additional rights or benefits to the Holders of Notes or that does not adversely affect the legal rights under the Indenture of any Holder; (e) to comply with
the requirements of the Commission in order to effect or maintain the qualification of this Indenture under the Trust Indenture Act; (f) to allow any Guarantor to execute a supplemental indenture to this Indenture; (g) evidence or provide
for acceptance of appointment of a successor Trustee; or (h) mortgage, hypothecate or grant a security interest in favor of the Trustee for the benefit of the Holders of Notes of any series as additional security for the payment and performance
of the Company’s or, if applicable, the Guarantor’s obligations herein; to release a Guarantor from its Subsidiary Guarantee pursuant to the terms of the Indenture when permitted or required pursuant to the terms of the Indenture; or; to
conform the text of the Indenture, the Notes or the Subsidiary Guarantees to any provision of the “Description of notes” to the extent that such provision was intended to be a verbatim recitation of a provision of the Indenture, the Notes
or the Subsidiary Guarantee. 
 12. Defaults and Remedies. 

Events of Default include: (a) default for 30 days in the payment when due of interest on the Notes (including the failure to
repurchase the Notes pursuant to a Change of Control Offer or Asset Sale Offer); (b) default in payment when due of principal of or premium, if any, on the Notes; (c) failure by the Company to comply with Sections 4.04, 4.07 or 5.01 of the
Sixth Supplemental Indenture; (d) failure by the Company for 60 days after notice to the Company by the Trustee or the Holders of at least 25% in principal amount of the Notes then outstanding voting as a single class to comply with certain
other agreements in this Indenture or the Notes; (e) default under certain other agreements relating to Indebtedness of the Company which default results in the acceleration of such Indebtedness prior to its express maturity; (f) certain
final judgments for the payment of money that remain undischarged for a period of 60 days; (g) certain events of bankruptcy or insolvency with respect to the Company or any of its Restricted Subsidiaries that is a Significant Subsidiary; and
(h) except as permitted by the Indenture, any applicable Subsidiary Guarantee or a Significant Subsidiary shall be held in any judicial proceeding to be unenforceable or invalid or shall cease for any reason to be in full force and effect or
any Guarantor or a Significant Subsidiary or any Person acting on its behalf shall deny or disaffirm its obligations under such Guarantor’s Subsidiary Guarantee. If any Event of Default occurs and is continuing, the Trustee or the Holders of at
least 25% in principal amount of the then outstanding Notes may declare all the Notes to be due and payable. Notwithstanding the foregoing, in the case of an Event of Default arising from certain events of bankruptcy or insolvency involving the
Company, all outstanding Notes will become due and payable without further action or notice. Holders may not enforce this Indenture or the Notes except as provided in the Indenture. Subject to certain limitations, Holders of a majority in principal
amount of the then outstanding Notes may direct the Trustee in its exercise of any trust or power. The Trustee may withhold from Holders of the Notes notice of any continuing Default or Event of Default (except a Default or Event of Default relating
to the payment of principal or interest) if it determines that withholding notice is in their interest. The Holders of a majority in aggregate principal amount of the Notes then outstanding by notice to the Trustee may on behalf of the Holders of
all of the Notes waive any existing Default or Event of Default and its consequences under this Indenture except a continuing Default or Event of Default in the payment of interest on, or the principal of, the Notes. The Company is required to
deliver to the Trustee annually a statement regarding compliance with the Indenture, and the Company is required upon becoming aware of any Default or Event of Default, to deliver to the Trustee a statement specifying such Default or Event of
Default. 
  

 A-5 

 13. Trustee Dealings with Company. 

The Trustee, in its individual or any other capacity, may make loans to, accept deposits from, and perform services for the Company or its
Affiliates, and may otherwise deal with the Company or its Affiliates, as if it were not the Trustee. 
 14. No Recourse Against
Others. 
 A director, officer, employee, incorporator or stockholder, of the Company, as such, shall not have any liability for
any obligations of the Company or the Guarantors under the Notes or this Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation. Each Holder by accepting a Security waives and releases all such
liability. The waiver and release are part of the consideration for the issuance of the Notes. 
 15. Guarantees. 

The payment by the Company of the principal of and interest on the Security is fully and unconditionally guaranteed on a joint and several
basis by each of the Guarantors on the terms set forth in the Indenture. The Subsidiary Guarantee of each Guarantor will be subordinated in right of payment to all existing and future Senior Debt of such Guarantor. 

16. Authentication. 

This Security shall not be valid until authenticated by the manual signature of the Trustee or an authenticating agent. 

17. Abbreviations. 

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

18. Subordination. 

Each Holder by accepting a Security agrees that the payment of principal, premium and if any, interest, on each Security is subordinated
in right of payment, to the extent and in the manner provided in Article 11 of the Base Indenture, to the prior payment in full of all existing and future Senior Debt (whether outstanding on the date of the Indenture or thereafter created, incurred,
assumed or guaranteed), and the subordination is for the benefit of holders of Senior Debt. 
 19. CUSIP Numbers. 

Pursuant to a recommendation promulgated by the Committee on Uniform Security Identification Procedures, the Company has caused CUSIP
numbers to be printed on the Notes and the Trustee may use CUSIP numbers in notices of redemption as a convenience to Holders. No representation is made as to the accuracy of such numbers either as printed on the Notes or as contained in any notice
of redemption and reliance may be placed only on the other identification numbers placed thereon. 
  

 A-6 

 The Company will furnish to any Holder upon written request and without charge a copy of the
Indenture. Requests may be made to: 
 Omnicare, Inc. 

100 East RiverCenter Boulevard 

Covington, Kentucky 41011 

Attention: Corporate Secretary 
  

 A-7 

 ASSIGNMENT FORM 

To assign this Security, fill in the form below: 

(I) or (we) assign and transfer this Security to:          
                                         
                                         
                                         
                                     

(Insert assignee’s legal name) 
  

 
 (Insert assignee’s soc. sec.
or tax I.D. no.) 
  
  

 
  
  

 
  

 
 (Print or type assignee’s
name, address and zip code) 
 and irrevocably appoint              to transfer this
Security on the books of the Company. The agent may substitute another to act for him. 
 Date:
                     
  

			
	 Your Signature:
	 	  

		 	(Sign exactly as your name appears on the face of this Security)

Signature Guarantee*:
                                        

  

	*	Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). 

 

 A-8 

 OPTION OF HOLDER TO ELECT PURCHASE 

If you want to elect to have this Note purchased by the Company pursuant to Section 4.04 or 4.07 of the Sixth Supplemental
Indenture, check the appropriate box below: 

 ̈    Section 4.04        
                                 ̈ 
   Section 4.07 
 If you want to elect to have only part of the Note purchased by the Company pursuant to
Section 4.04 or Section 4.07 of the Sixth Supplemental Indenture, state the amount you elect to have purchased: 

$             

Date:                      

 

			
	Your Signature:	 	  

		 	(Sign exactly as your name appears on the face of this Note)
	
	Tax Identification No.:
                                        

 Signature Guarantee*:
                                        

  
  

	*	Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee). 

 

 A-9 

 SCHEDULE OF EXCHANGES OF INTERESTS IN THE GLOBAL SECURITY* 

The following exchanges of a part of this Global Security for an interest in another Global Security or for a permanent Security, or
exchanges of a part of another Global Security or permanent Security for an interest in this Global Security, have been made: 
  

									
	 Date of Exchange
	  	Amount of decrease
in Principal
Amount
of this Global
Security	  	Amount of increase in
Principal Amount
of
this Global Security	  	Principal Amount of
this Global
Security
following such
decrease (or increase)	  	Signature authorized
officer of Trustee
or
Security Custodian

  
  

	*	This schedule should be included only if the Security is issued in global form. 

 

 A-10 

 Exhibit B 

FORM OF SUPPLEMENTAL INDENTURE 

TO BE DELIVERED BY SUBSEQUENT GUARANTORS 

Supplemental Indenture (this “Supplemental Indenture”), dated as
            , among              (the “Guaranteeing Subsidiary”), a subsidiary of Omnicare, Inc. (or its
permitted successor), a Delaware corporation (the “Company”), the Company and U.S. Bank National Association (as successor to SunTrust Bank), as trustee under this Indenture referred to below (the “Trustee”).

 W I T N E S S E T H 

WHEREAS, the Company has heretofore executed and delivered to the Trustee an indenture (the “Base Indenture”), dated as
of June 13, 2003, as supplemented by the Sixth Supplemental Indenture, dated as of May 18, 2010 (the “Sixth Supplemental Indenture” and, together with the Base Indenture, the “Indenture”), providing for
the issuance of [            ]% Senior Subordinated Notes due 2020 (the “Notes”); 

WHEREAS, this Indenture provides that under certain circumstances the Guaranteeing Subsidiary shall execute and deliver to the Trustee a
supplemental indenture pursuant to which the Guaranteeing Subsidiary shall unconditionally guarantee all of the Company’s Obligations under the Notes and the Indenture on the terms and conditions set forth herein (the “Note
Guarantee”); and 
 WHEREAS, pursuant to Section 9.01 of the Base Indenture, the Trustee is authorized to execute
and deliver this Supplemental Indenture. 
 NOW THEREFORE, in consideration of the foregoing and for other good and valuable
consideration, the receipt of which is hereby acknowledged, the Guaranteeing Subsidiary and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows: 

1. Capitalized Terms. Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

 2. Agreement to Guarantee. The Guaranteeing Subsidiary hereby agrees as follows: 

(a) Along with all Guarantors named in the Indenture, to jointly and severally Guarantee to each Holder of a Note
authenticated and delivered by the Trustee and to the Trustee and its successors and assigns, the Notes or the obligations of the Company hereunder or thereunder, that: 

(i) the principal of and interest on the Notes will be promptly paid in full when due, whether at maturity, by
acceleration, redemption or otherwise, and interest on the overdue principal of and interest on the Notes, if any, if lawful, and all other obligations of the Company to the Holders or the Trustee hereunder or thereunder will be promptly paid in
full or performed, all in accordance with the terms hereof and thereof; and 
 (ii) in case of any extension of
time of payment or renewal of any Notes or any of such other obligations, that same will be promptly paid in full when due or performed in accordance with the terms of the extension or renewal, whether at stated maturity, by acceleration or
otherwise. Failing payment when due of any amount so guaranteed or any performance so guaranteed for whatever reason, the Guarantors shall be jointly and severally obligated to pay the same immediately. 

 

 B-1 

 (b) The obligations hereunder shall be unconditional, irrespective of the
validity, regularity or enforceability of the Notes or the Indenture, the absence of any action to enforce the same, any waiver or consent by any Holder of the Notes with respect to any provisions hereof or thereof, the recovery of any judgment
against the Company, any action to enforce the same or any other circumstance which might otherwise constitute a legal or equitable discharge or defense of a guarantor. 

(c) The following is hereby waived: diligence, presentment, demand of payment, filing of claims with a court in the event
of insolvency or bankruptcy of the Company, any right to require a proceeding first against the Company, protest, notice and all demands whatsoever. 

(d) This Note Guarantee shall not be discharged except by complete performance of the obligations contained in the Notes
and the Indenture, and the Guaranteeing Subsidiary accepts all obligations of a Guarantor under this Indenture. 

(e) If any Holder or the Trustee is required by any court or otherwise to return to the Company, the Guarantors, or any
Custodian, Trustee, liquidator or other similar official acting in relation to either the Company or the Guarantors, any amount paid by either to the Trustee or such Holder, this Note Guarantee, to the extent theretofore discharged, shall be
reinstated in full force and effect. 
 (f) The Guaranteeing Subsidiary shall not be entitled to any right of
subrogation in relation to the Holders in respect of any obligations guaranteed hereby until payment in full of all obligations guaranteed hereby. 

(g) As between the Guarantors, on the one hand, and the Holders and the Trustee, on the other hand, (x) the maturity
of the obligations guaranteed hereby may be accelerated as provided in Article VI of the Sixth Supplemental Indenture for the purposes of this Note Guarantee, notwithstanding any stay, injunction or other prohibition preventing such acceleration in
respect of the obligations guaranteed hereby, and (y) in the event of any declaration of acceleration of such obligations as provided in Article VI of the Sixth Supplemental Indenture, such obligations (whether or not due and payable) shall
forthwith become due and payable by the Guarantors for the purpose of this Note Guarantee. 
 (h) The Guarantors
shall have the right to seek contribution from any non-paying Guarantor so long as the exercise of such right does not impair the rights of the Holders under the Guarantee. 

(i) Pursuant to Section 12.04 of the Base Indenture, after giving effect to any maximum amount and any other
contingent and fixed liabilities that are relevant under any applicable Bankruptcy or fraudulent conveyance laws, and after giving effect to any collections from, rights to receive contribution from or payments made by or on behalf of any other
Guarantor in respect of the obligations of such other Guarantor under Article 12 of the Base Indenture, this new Note Guarantee shall be limited to the maximum amount permissible such that the obligations of such Guarantor under this Note Guarantee
will not constitute a fraudulent transfer or conveyance. 
  

 B-2 

 3. Execution and Delivery. Each Guaranteeing Subsidiary agrees that the Note
Guarantees shall remain in full force and effect notwithstanding any failure to endorse on each Note a notation of such Note Guarantee. 

4. Guaranteeing Subsidiary may Consolidate, etc. on Certain Terms. A Guarantor may not sell or otherwise dispose of all or
substantially all of its assets to, or consolidate with or merge with or into (whether or not such Guarantor is the surviving Person), another Person, other than the Company or another Guarantor, unless: 

(a) immediately after giving effect to that transaction, no Default or Event of Default exists; and 

(b) subject to the provisions of Section 10.03 of the Sixth Supplemental Indenture, the Person acquiring the property
in any such sale or disposition or the Person formed by or surviving any such consolidation or merger assumes all the obligations of that Guarantor under the Indenture and its Subsidiary Guarantee pursuant to a supplemental indenture satisfactory to
the Trustee. 
 In case of any such consolidation, merger, sale or conveyance and upon the assumption by the successor
corporation, by supplemental indenture, executed and delivered to the Trustee and satisfactory in form to the Trustee, of the due and punctual performance of all of the covenants and conditions of this Indenture to be performed by the Guarantor,
such successor corporation shall succeed to and be substituted for the Guarantor with the same effect as if it had been named herein as a Guarantor. All the Subsidiary Guarantees so issued shall in all respects have the same legal rank and benefit
under the Indenture as the Subsidiary Guarantees theretofore and thereafter issued in accordance with the terms of the Indenture as though all of such Subsidiary Guarantees had been issued at the date of the execution hereof. 

Except as set forth in Article V of the Sixth Supplemental Indenture, and notwithstanding clauses (a) and (b) above, nothing
contained in this Indenture or in any of the Notes shall prevent any consolidation or merger of a Guarantor with or into the Company or another Guarantor, or shall prevent any sale or conveyance of the property of a Guarantor as an entirety or
substantially as an entirety to the Company or another Guarantor. 
 5. Releases. The Note Guarantee of a Guarantor will
be released, and any Person acquiring assets (including by way of merger or consolidation) or Capital Stock of a Guarantor shall not be required to assume the obligations of any such Guarantor: 

(a) in connection with any sale or other disposition of all or substantially all of the assets of that Guarantor
(including by way of merger or consolidation) to a Person that is not (either before or after giving effect to such transaction) a Restricted Subsidiary, if the sale or other disposition complies with Sections 3.04 and 4.04 of the Sixth Supplemental
Indenture; 
 (b) in connection with any sale of a majority of the Capital Stock of a Guarantor to a Person that
is not (either before or after giving effect to such transaction) a Restricted Subsidiary, if the sale complies with Sections 3.04 and 4.04 of the Sixth Supplemental Indenture; 

(c) if the Company designates any Restricted Subsidiary that is a Guarantor to be an Unrestricted Subsidiary or an
Excluded Subsidiary in accordance with the Indenture; 
 (d) if any Guarantor is otherwise no longer obligated to
provide a Subsidiary Guarantee pursuant to the Indenture; 
  

 B-3 

 (e) if such Guarantor’s guarantee of any obligations under the Credit
Agreement, or if the Credit Agreement is no longer outstanding, any other Indebtedness of the Company, is fully and unconditionally released, except that such Guarantor shall subsequently be required to become a Guarantor by executing a supplemental
indenture and providing the Trustee with an Officers’ Certificate and Opinion of Counsel at such time as it guarantees any obligations under the Credit Agreement, or if the Credit Agreement is no longer outstanding, any other Indebtedness of
the Company; or 
 (f) upon the Company’s exercise of its legal defeasance option or covenant defeasance
option as described under Article IX of this Sixth Supplement Indenture or if the Company’s obligations under the Indenture and Notes are discharged in accordance with the terms of the Indenture. 

Any Guarantor not released from its obligations under its Note Guarantee shall remain liable for the full amount of principal of and
interest on the Notes and for the other obligations of any Guarantor under the Indenture as provided in Article 12 of the Base Indenture and Article X of the Sixth Supplemental Indenture. 

6. No Recourse Against Others. No past, present or future director, officer, employee, incorporator, stockholder or agent of the
Guaranteeing Subsidiary, as such, shall have any liability for any obligations of the Company or any Guarantor under the Notes, any Subsidiary Guarantees, the Indenture or this Supplemental Indenture or for any claim based on, in respect of, or by
reason of, such obligations or their creation. Each Holder of the Notes by accepting a Note waives and releases all such liability. The waiver and release are part of the consideration for issuance of the Notes. Such waiver may not be effective to
waive liabilities under the federal securities laws and it is the view of the Commission that such a waiver is against public policy. 

7. NEW YORK LAW TO GOVERN. THE INTERNAL LAW OF THE STATE OF NEW YORK SHALL GOVERN AND BE USED TO CONSTRUE THIS SUPPLEMENTAL
INDENTURE BUT WITHOUT GIVING EFFECT TO APPLICABLE PRINCIPLES OF CONFLICTS OF LAW TO THE EXTENT THAT THE APPLICATION OF THE LAWS OF ANOTHER JURISDICTION WOULD BE REQUIRED THEREBY. 

8. Counterparts. The parties may sign any number of copies of this Supplemental Indenture. Each signed copy shall be an original,
but all of them together represent the same agreement. 
 9. Effect of Headings. The Section headings herein are for
convenience only and shall not affect the construction hereof. 
 10. The Trustee. The Trustee shall not be responsible
in any manner whatsoever for or in respect of the validity or sufficiency of this Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Guaranteeing Subsidiary and the Company.

  

 B-4 

 IN WITNESS WHEREOF, the parties hereto have caused this Supplemental Indenture to be duly
executed and attested, all as of the date first above written. 
 Dated: May 18, 2010 

 

			
	 Omnicare, Inc.

		
	 By:
	 	  

	 Name:
	 	John L. Workman
	 Title:
	 	Executive Vice President and Chief Financial Officer
	
	 U.S. Bank National Association, as Trustee

		
	 By:
	 	  

		 	Authorized Signatory

  

 B-5Second Supplement to the Fourth Supplemental Indenture

 Exhibit 4.2 

SECOND SUPPLEMENT TO THE FOURTH SUPPLEMENTAL INDENTURE 

THIS SECOND SUPPLEMENT TO THE FOURTH SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”) is made this 18th day of
May, 2010, by and between OMNICARE, INC., a Delaware corporation (the “Company”) and U.S. BANK NATIONAL ASSOCIATION (as successor to SunTrust Bank) (the “Trustee”). 

WHEREAS, the Company has issued its 6.75% Senior Subordinated Notes due 2013 in the original aggregate principal amount of $225,000,000
(herein the “Notes”). 
 WHEREAS, the Company has heretofore executed and delivered to the Trustee an
indenture, dated as of June 13, 2003 (the “Base Indenture”), as supplemented by the Fourth Supplemental Indenture, dated as of December 15, 2005 (the “Fourth Supplemental Indenture”), and as further
amended by the First Supplement to the Fourth Supplemental Indenture, dated as of April 16, 2007 among the Company, the Guaranteeing Subsidiaries named therein and the Trustee (together with the Base Indenture and the Fourth Supplemental
Indenture, the “Indenture”), pursuant to which the Notes were issued. 
 WHEREAS, pursuant to its offer to
purchase and consent solicitation statement dated May 3, 2010, (the “Offer to Purchase”) the Company commenced a tender offer for any and all of the outstanding Notes (the “Tender Offer”) and solicited the
consents of the holders of the Notes to the Proposed Amendments (the “Consent Solicitation”). 
 WHEREAS, the
approval of the holders of at least a majority in aggregate principal amount of the Notes outstanding (not including any Notes owned by the Company or any subsidiary guarantor, or by any Person directly or indirectly controlling or controlled by or
under direct or indirect common control with the Company or any subsidiary guarantor) is sufficient to amend the terms of the Indenture as set forth herein. 

WHEREAS, having received the approval of the holders of at least a majority in aggregate principal amount of the Notes outstanding (not
including any Notes owned by the Company or any subsidiary guarantor, or by any Person directly or indirectly controlling or controlled by or under direct or indirect common control with the Company or any subsidiary guarantor) pursuant to
Section 9.02 of the Base Indenture, the Company and the Trustee desire to amend the Fourth Supplemental Indenture, as provided hereinafter. 

WHEREAS, all things necessary to make this Supplemental Indenture the legal, valid and binding obligation of the Company, upon its
execution hereof, have been done. 
 NOW, THEREFORE, in consideration of the premises and of the mutual covenants and agreements
contained in this Supplemental Indenture, the parties agree as follows for the benefit of each other and for the equal and ratable benefit of the Holders of the Notes: 

Section 1. Capitalized Terms. Capitalized terms used herein without definition shall have the meanings assigned to
them in the Indenture. 
 Section 2. Amendments to the Indenture. The Fourth Supplemental Indenture is hereby
amended as follows: 
 (a) Section 1.01 Definitions; “Unrestricted Subsidiary.” 

The definition of “Unrestricted Subsidiary” in Section 1.01 of the Fourth Supplemental Indenture is deleted in its entirety
and replaced with the following: 
 ““Unrestricted Subsidiary” means any Subsidiary of the Company identified as
an Unrestricted Subsidiary in Schedule 1 attached to this Indenture or any Subsidiary that is designated by the Board of Directors as an Unrestricted Subsidiary pursuant to a Board Resolution. 

In addition, any Subsidiary that constitutes a special purpose entity formed for the primary purpose of financing receivables or for the
primary purpose of issuing trust preferred or similar securities in connection with a transaction permitted under Section 4.03, shall be an Unrestricted Subsidiary. 

 Any designation of a Subsidiary of the Company as an Unrestricted Subsidiary after the date
of this Indenture will be evidenced to the Trustee by filing with the Trustee a certified copy of the Board Resolution giving effect to such designation.” 

(b) Each of the following sections of the Indenture is deleted in its entirety and replaced with “Intentionally Omitted”:

  

			
	Section 3.03	  	Offer to Purchase by Application of Excess Proceeds.
	Section 4.01	  	Restricted Payments.
	Section 4.02	  	Dividend and Other Payment Restrictions Affecting Restricted Subsidiaries.
	Section 4.03	  	Incurrence of Indebtedness and Issuance of Preferred Stock.
	Section 4.04	  	Asset Sales.
	Section 4.05	  	Transactions with Affiliates.
	Section 4.06	  	Liens.
	Section 4.07	  	Offer to Repurchase upon Change of Control.
	Section 4.08	  	No Senior Subordinated Debt.
	Section 4.09	  	Additional Note Guarantees.
	Section 4.10	  	Activities of Purchasing.
	Section 4.11	  	Designation of Restricted and Unrestricted Subsidiaries.
	Section 4.13	  	Reports.

 (c) Article IV
Additional Covenants. 
 The first paragraph of Article IV of the Fourth Supplemental Indenture is deleted in its entirety
and replaced with the following: 
 “The Notes shall not be subject to the covenants set forth in Sections
4.03, 4.04, and 4.06 of the Base Indenture. In addition to the other covenants set forth in Article 4 of the Base Indenture, the Notes shall be subject to the additional covenants set forth in this Article IV:” 

(d) Section 5.01 Merger, Consolidation or Sale of Assets. 

Section 5.01 of the Fourth Supplemental Indenture is deleted in its entirety and replaced with: 

“The Company shall not, directly or indirectly: (1) consolidate or merge with or into another Person (whether or
not the Company is the surviving corporation); or (2) sell, assign, transfer, convey or otherwise dispose of all or substantially all of the properties or assets of the Company and its Restricted Subsidiaries taken as a whole, in one or more
related transactions, to another Person; unless: 
 (a) either: (i) the Company is the surviving corporation; or
(ii) the Person formed by or surviving any such consolidation or merger (if other than the Company) or to which such sale, assignment, transfer, conveyance or other disposition has been made is a corporation organized or existing under the laws
of the United States, any state of the United States or the District of Columbia; 
 (b) the Person formed by or surviving any
such consolidation or merger (if other than the Company) or the Person to which such sale, assignment, transfer, conveyance or other disposition has been made assumes all the obligations of the Company under the Notes, this Indenture and the
Registration Rights Agreement pursuant to agreements reasonably satisfactory to the Trustee; 
 (c) Intentionally Omitted; and

 (d) Intentionally Omitted. 
  

 2 

 This Section 5.01 will not apply to a sale, assignment, transfer, conveyance or other
disposition of assets between or among the Company and any of the Guarantors.” 
 (e) Section 6.01 Events of
Default. 
 Section 6.01 of the Fourth Supplemental Indenture is deleted in its entirety and replaced with: 

“An “Event of Default” occurs if: 

(a) the Company defaults in the payment when due of interest on the Notes and such default continues for a period of 30 days, whether or
not such payment is prohibited by Article 11 of the Base Indenture; 
 (b) the Company defaults in the payment when due of
principal of or premium, if any, on the Notes when the same becomes due and payable at maturity, upon redemption (including in connection with an offer to purchase) or otherwise, whether or not such payment is prohibited by Article 11 of the Base
Indenture; 
 (c) the Company or any of its Restricted Subsidiaries fails to comply with any of the provisions of
Section 5.01 of this Fourth Supplemental Indenture; 
 (d) the Company or any of its Restricted Subsidiaries fails to
observe or perform any other covenant or other agreement in the Indenture or the Notes for 60 days after notice to the Company by the Trustee or the Holders of at least 25% in aggregate principal amount of the Notes then outstanding voting as a
single class; 
 (e) Intentionally Omitted; 

(f) Intentionally Omitted; 

(g) Intentionally Omitted; 

(h) Intentionally Omitted; or 

(i) except as permitted by the Indenture, any Subsidiary Guarantee shall be held in any final, non-appealable judicial proceeding to be
unenforceable or invalid or shall cease for any reason to be in full force and effect or any Guarantor, or any Person acting on behalf of any Guarantor, shall deny or disaffirm its obligations under its Subsidiary Guarantee (unless such Guarantor
could be designated as an Excluded Subsidiary). 
 A Default under clause (d) is not an Event of Default in respect of the
Notes until the Trustee or the Holders of at least 25% in principal amount of the notes then outstanding notify the Company of the Default and the Company does not cure such default within the time specified after receipt of such notice. Such notice
must specify the Default, demand that it be remedied and state that such notice is a “Notice of Default”.” 

Section 9.01 Applicability of Certain Provisions. 

Section 9.01 of the Fourth Supplemental Indenture is deleted in its entirety and replaced with: 

“The Notes shall be subject to Article 8 of the Base Indenture, except that: 

(a) the portions of the Indenture from which the Company and the Guarantors shall be released upon Covenant Defeasance pursuant to
Section 8.03 of the Base Indenture shall, in addition to Section 4.06 and Article 12 of the Base Indenture, also include Sections 3.03 and 4.01 through 4.11 and Articles V and X of this Fourth Supplemental Indenture, and shall not include
Article 5 of the Base Indenture; 
  

 3 

 (b) the provisions of the Indenture which, upon Covenant Defeasance, shall not constitute
Events of Default shall include Sections 6.01(c), (d), (e), (f) and (i) of this Fourth Supplemental Indenture and shall not include Sections 6.01(c), (d) and (g) of the Base Indenture; 

(c) Intentionally Omitted; and 

(d) the Notes shall not be subject to Section 8.04(b) or (c) of the Base Indenture.” 

Section 3. Related Definitions and References. Pursuant to the Proposed Amendments, all definitions used exclusively in, and
all references to, the deleted Sections of the Indenture set forth in Section 2 above are also deleted in their entirety. 

Section 4. Notification to Holders. The Company shall mail to the Holders a brief description of this Supplemental Indenture
in accordance with Section 9.02 of the Base Indenture. Any failure by the Company to mail such notice, or any defect therein, shall not, however, in any way impair or affect the validity of this Supplemental Indenture. 

Section 5. Ratification of Indenture; Supplemental Indentures Part of Indenture. Except as expressly amended hereby, the
Indenture is in all respects ratified and confirmed and all the terms, conditions and provisions thereof shall remain in full force and effect. This Supplemental Indenture shall form a part of the Indenture for all purposes, and every holder of
Notes heretofore or hereafter authenticated and delivered shall be bound hereby. 
 Section 6. Governing Law.
THE INTERNAL LAW OF THE STATE OF NEW YORK SHALL GOVERN AND BE USED TO CONSTRUE THIS SUPPLEMENTAL INDENTURE, WITHOUT GIVING EFFECT TO APPLICABLE PRINCIPLES OF CONFLICTS OF LAW TO THE EXTENT THAT THE APPLICATION OF THE LAWS OF ANOTHER JURISDICTION
WOULD BE REQUIRED THEREBY. 
 Section 7. Severability. In case any provision in this Supplemental Indenture shall be
invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby. 

Section 8. Condition to Operative Effect. Sections 2 and 3 of this Supplemental Indenture shall not become operative until
the date on which the Company gives oral notice (confirmed in writing) or written notice to the Tender Agent (as defined in the Tender Offer) that the Notes tendered by the Holders on or prior to the Early Tender Deadline (as defined in the Tender
Offer) pursuant to the Tender Offer have been accepted for payment. 
 Section 9. Counterparts. The parties
may sign any number of copies of this Supplemental Indenture. Each signed copy shall be an original, but all of them together represent the same agreement. 

Section 10. Effect of Headings. The Section headings herein are for convenience of reference only, are not to be
considered a part of this Supplemental Indenture and shall in no way modify or restrict any of the terms or provisions hereof. 

Section 11. The Trustee. The Trustee shall not be responsible in any manner whatsoever for or in respect of the
validity or sufficiency of this Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Company. 

[Signature Page Follows] 
  

 4 

 IN WITNESS WHEREOF, this Second Supplement to the Fourth Supplemental Indenture has been
executed by a duly authorized officer of the Company and the Trustee. 
 Dated as of May 18, 2010. 

 

					
	 OMNICARE, INC,

		
	By:	 	 /s/ John L. Workman

		 	Name:	 	John L. Workman
		 	Title:	 	Executive Vice President and Chief Financial Officer
	
	U.S. BANK NATIONAL ASSOCIATION, as Trustee
		
	By:	 	 /s/ Wm. Bryan Echols

		 	Name:	 	Wm. Bryan Echols
		 	Title:	 	Vice President

  

 5

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