Document:

Exhibit 4.2

    
       

      
        
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      Exhibit
        4.2

       

       

      CLASS
        A COMMON
        STOCK                                                                                              CLASS
        A COMMON
        STOCK

       

                                                                                                                           SEE
        REVERSE FOR CERTAIN DEFINITIONS

       

      Schiff®

      NUTRITION

      INTERNATIONAL,
        INC.

       

      INCORPORATED
        UNDER THE
        LAWS OF THE STATE OF DELAWARE

       

      FULLY
        PAID AND
        NON-ASSESSABLE SHARES OF CLASS A COMMON STOCK, $0.01 PAR 
VALUE PER SHARE,
        OF

       

      SCHIFF
        NUTRTION
        INTERNATIONAL, INC.

       

      (the
“Corporation”)
        transferable on the
        books of the Corporation in person or by duly authorized Attorney
upon
        surrender of this Certificate properly endorsed.  This Certificate is not
        valid unless countersigned and 
registered by the Transfer Agent and
        Registrar.

       

      In
        Witness Whereof, the said Corporation
        has     [CORPORATE]     caused this
        Certificate to be endorsed by
the facsimile signatures of its duly authorized
              
[SEAL]
            officers
        and to be sealed with the 
facsimile seal of the
        Corporation.                      [1996
        DELAWARE]

      Dated:

       

      [Signature]                                                                                                                                   [Signature]

      SECRETARY                                                                                                                             CHAIRMAN

       

       

      
        
          
          

        

        
          
          

          
            

          

        

        
          
          

        

      

       

      SCHIFF
        NUTRITION INTERNATIONAL,
        INC.

       

      The
        Corporation will furnish without charge
        to each stockholder who so requests the powers, designations, 
preferences
        and relative, participating, optional, or other special rights of each class
        of
        stock or series 
thereof and the qualifications, limitations or restrictions
        of such preferences and/or rights.  Such requests 
shall be made to the
        Corporation’s Secretary at the principal office of the Corporation.

       

      The
        following abbreviations, when used in
        the inscription on the face of this certificate, shall be construed 
as
        though they were written out in full according to applicable laws or
        regulations:

       

      TEN
        COM-           as tenants in
        common            
UNIF GIFT MIN ACT- ______Custodian_________

      TEN
        ENT-             as
        tenants by the
        entireties                                             
(Cust)                  
(Minor)

      JT
        TEN-                
as joint tenants
        with                           
under Uniform Gifts to Minors Act

                                                 right
        of survivorship
        and                   
____________________________________

                                                 not
        as tenants in
        common                                              
(State)

       UNIF
        TRF MIN ACT-_____Custodian
        (until age__)

                                                                                                                                   (Cust)

      __________under
        Uniform
        Transfers

          
        (Minor)

      to
        Minors Act
        _______________________

                                                                                                                          
                (State)

      Additional
        abbreviations may also be used
        though not in the above list.

       

      FOR
        VALUE RECEIVED, _________hereby sell
        assign and transfer(s) unto

      ______________________________________________________________________________________

       

           
PLEASE
        INSERT SOCIAL SECURITY OR

       OTHER
        IDENTIFYING
        NUMBER OF ASSIGNEE

      ___________________________________________

       

      ______________________________________________________________________________________

      (PLEASE
        PRINT OR
        TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE OF ASSIGNEE)

       

      ______________________________________________________________________________________

       

      ______________________________________________________________________________________

       

      __________________________________________________________________________
        Shares of

      the
        Class A Common Stock represented by the
        within Certificate, and do(es) hereby irrevocably constitute 
and appoint
        ____________________ Attorney to transfer the said stock on the books of
        the
        within named 
Corporation with full power of substitution in the
        premises.

       

      Dated
        ______________                  
X _______________________________________________________

      X
        _______________________________________________________

      NOTICE:
        THE SIGNATURE TO THIS ASSIGNMENT
        MUST 
CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE 
FACE OF THE
        CERTIFICATE IN EVERY PARTICULAR, 
WITHOUT ALTERATION OR ENLARGEMENT OR ANY

CHANGE WHATSOEVER.

      SIGNATURE(S)
        GUARANTEED:

       

      By
        ___________________________

      THE
        SIGNATURE(S) MUST BE GUARANTEED BY AN
        ELIGIBLE GUARANTOR INSTITUTION 
(BANKS, STOCKBROKERS, SAVINGS AND LOAN
        ASSOCIATIONS AND CREDIT UNIONS WITH 
MEMBERSHIP IN AN APPROVED SIGNATURE
        GUARANTEE MEDALLION PROGRAM), 
PURSUANT TO S.E.C. RULE 17Ad-15.AMENDMENT TO EMPLOYMENT AGREEMENT

         AMENDMENT EFFECTIVE AS OF August 23rd, 2006 (this "Amendment") TO
EMPLOYMENT AGREEMENT (the "Agreement") DATED AS OF DECEMBER 1, 2002 between
QMed, Inc. ("Company") and Michael W. Cox ("Executive"). Company and Executive
are referred to hereinafter as the "Parties".

                                R E C I T A L S :

         WHEREAS, the Parties desire to amend the Agreement to change the
severance provisions thereof.

         NOW THEREFORE, in consideration of the agreements contained herein, and
for other good and valuable consideration, the receipt and adequacy of which are
conclusively acknowledged, the Parties, intending to become legally bound, agree
as follows:

                               A M E N D M E N T :

         Capitalized terms used herein and not otherwise defined herein shall
have the meanings set forth in the Agreement.

1. Amendment to Subsection 8.1(a)(iii) - Severance Pay.

         Subsection 8.1(a)(iii) of the Agreement is amended by replacing such
subsection in its entirety with:

         (iii) pay Executive an amount equal to three times his last Base
Salary, to be paid in three equal annual installments, with the first
installment to be paid no later than thirty (30) days after termination of
employment (the "Payment Date"), and thereafter, the second and third
installments on the each of the next two annual anniversaries of the Payment
Date;

2. Amendment to Subsection 8.1(a)(iv) - Option Vesting.

         Subsection 8.1(a)(iv) of the Agreement is amended by replacing such
subsection in its entirety with:

         (iv) immediate vesting of all unvested stock options;

3. Amendment to Subsection 8.1(a)(vi) - Health Benefits.

         Subsection 8.1(a)(vi) of the Agreement is amended by replacing such
subsection in its entirety with:

         (vi) continued coverage, at the Company's expense for a period of 36
months from the date of termination under all executive health plans in which
the Executive participates as of the date of termination.

4. Expiration of Agreement.

         The Agreement is amended by adding the following Section 8.6:

         8.6 If the Company elects not to renew this Agreement, or if at anytime
during the term or any renewal term hereof, Executive terminates his employment
(other than for Good Reason) ("Executive's Retirement"), notwithstanding the
provisions of Section 8.4 of the Agreement, the Company will offer Executive the
opportunity to consult with the Company for a period of two (2) years following
such expiration or Executive's Retirement, such consulting to be for up to 40
hours per month. If Executive accepts such offer, then during the term of such
consultancy period, the Company will pay Executive (who will no longer be an
executive for purposes of this Agreement) in the amount per year equal to
seventy-five percent of Executive's last Base Salary payable in installments on
the Company's regular salary payroll dates for the period commencing on the date
following such expiration or Executive's Retirement and ending on the date which
is the earlier of (i) twenty-four (24) months following such expiration or
Executive's Retirement and (ii) the termination by Executive or by Company of
such consultancy arrangement (the "Consultancy Period"). The Consultancy Period
may be terminated: by Executive at will; or by Company, for Cause. During the
Consultancy Period, Executive's duties shall be to make himself available to
consult, on a monthly basis (subject, however, to Company's vacation policy
which is applicable to Executive as of the start of the Consultancy Period), for
a maximum of forty (40) hours per calendar month, such consulting to be with the
Board of Directors of the Company (the "Board"), the Company's Chief Executive
Officer (the "Chief Executive Officer"), and such other executives of the
Company as may be reasonably designated by the Board or the Chief Executive
Officer. Such consultations shall be at reasonable times, in a reasonable
manner, and at the Company's office or other reasonable locations to which the
Executive may agree, and shall take place only if requested by the Company; if
the Company shall not request consultation for a calendar month, or shall not
request consulting which requires forty (40) hours during a month, Executive
shall not have an obligation to consult, or to consult for the full forty (40)
hours, during such month, but shall, nevertheless, be entitled to the full
compensation provided for in this section; unused consulting time for a month
shall not be carried over into a subsequent month.

5. Amendment to Confidentiality and Restrictive Covenants

         Section 9 of the Agreement is amended by replacing such section in its
entirety with following:

         9. RESTRICTIVE COVENANTS.

                                       2

                  9.1. Confidentiality. Executive recognizes that, by reason of
his employment hereunder, he may acquire confidential information and trade
secrets concerning the operation of Company, the use or disclosure of which
could cause Company substantial loss and damages which could not be readily
calculated and for which no remedy at law would be adequate. Accordingly,
Executive covenants and agrees with Company that he will not, either during the
term of his employment hereunder and for the longer of (a) a period of one (1)
year after the expiration or termination of Executive's employment as an
executive under this Agreement, and (b) a period of one (1) year after the end
of the Consultancy Period, disclose, furnish or make accessible to any person,
firm or corporation (except (i) in the ordinary course of business in
performance of Executive's obligations to Company hereunder or (ii) when
required to do so by law or (iii) with the prior written consent of Company
pursuant to authority granted by a resolution of the Board of Directors) any
confidential information that Executive has learned or may learn by reason of
his association with Company. As used herein, the term "confidential
information" shall include, without limitation, information not previously known
or disclosed to the public or to the trade by Company with respect to the
business or affairs of Company, including, without limitation, information
relating to business opportunities, customer lists, price lists, trade secrets,
systems, techniques, procedures, methods, inventions, facilities, financial
information, business plans or prospects.

                  9.2. Non-Competition. During the period of his employment as
an executive hereunder and for the later of (i) one year thereafter and (ii) a
period of one (1) year after the the end of the Consultancy Period, Executive
agrees that, without the prior written consent of Company, (A) he will not,
directly or indirectly, either as principal, manager, agent, consultant,
officer, stockholder, partner, investor, lender or Executive or in any other
capacity, carry on, be engaged in or have any financial interest in, any
business which is directly in competition with the business of Company and/or
its subsidiaries and (B) he shall not, on his own behalf or on behalf of any
person, firm or company, directly or indirectly, solicit or offer employment to
any person who has been employed by Company at any time during the 12 months
immediately preceding such solicitation. It shall not be a violation of this
section or of this Agreement for Executive to own and/or trade in the shares of
a publicly traded entity, regardless of the business of such entity, provided
that Executive does not own five percent (5%) or more of such entity.

6. Miscellaneous.

         a. This Amendment is limited as specified and shall not constitute a
codification, acceptance or waiver of any provision of the Agreement except as
expressly set forth herein. Except as set forth in this Amendment, the Agreement
shall remain in full force and effect.

         b. This Amendment may be executed in one or more counterparts and by
different parties hereto in separate counterparts, each of which when so
executed and delivered shall be deemed an original, but all such counterparts

                                       3

together shall constitute but one and the same instrument. Signature pages may
be detached from multiple separate counterparts and attached to a single
counterpart so that all signature pages are physically attached to the same
document.

         c. No amendment of any provision of the Agreement including this
Amendment shall be valid unless the same shall be in writing and signed by all
of the Parties hereto.

         d. THIS AMENDMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES
HEREUNDER SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAW OF THE
STATE OF NEW JERSEY WITHOUT REGARD TO PRINCIPLES OF CONFLICTS OF LAWS.

         IN WITNESS WHEREOF, the Parties hereto have caused this Amendment to be
duly executed as of the day and year first above written.

                                            QMed, Inc.

                                            By: /s/ Jane Murray            
                                               Title: COO

                                            /s/ Michael W. Cox             
                                            Michael W. Cox

                                       4

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