Document:

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                                                                    EXHIBIT 10.5

                       NONQUALIFIED STOCK OPTION AGREEMENT

         THIS NONQUALIFIED STOCK OPTION AGREEMENT (this "Agreement"), is made
and entered into as of March 8, 2000, by and between, CAREMARK RX, INC., a
corporation organized and existing under the laws of the State of Delaware with
its principal place of business in Birmingham, Alabama (the "Corporation"), and
E. MAC CRAWFORD ("Optionee"), a resident of the State of Alabama.

                                   WITNESSETH:

         WHEREAS, the Corporation and Optionee entered into an Employment
Agreement, dated as of March 18, 1998, as amended by that certain First
Amendment dated August 6, 1998 (the "Employment Agreement"), whereby Optionee
agreed to serve as President and Chief Executive Officer of the Corporation;

         WHEREAS, the Corporation and Optionee have entered into the Second
Amendment to Employment Agreement of even date herewith (the "Second Amendment"
and the Employment Agreement as amended by the First Amendment and the Second
Amendment is hereinafter referred to as the "Amended Employment Agreement")
whereby Optionee has agreed to forego any bonus for calendar year 2000 and all
future calendar years during the term of the Amended Employment Agreement
payable pursuant to Section 5(c) of the Employment Agreement in exchange for the
grant of an option to purchase 3,875,000 shares of the Corporation's common
stock, par value $.001 per share (the "Common Stock") granted pursuant to the
MedPartners, Inc. 1997 Long-Term Incentive Compensation Plan (the "Plan") on the
terms and subject to the conditions set forth in this Agreement; and

         WHEREAS, capitalized terms not otherwise defined herein shall have the
meanings ascribed to them in the Plan.

         NOW THEREFORE, in consideration of the premises set forth in the
Amended Employment Agreement the parties hereto agree as follows:

         1. GRANT OF STOCK OPTION. The Corporation grants to Optionee the right,
privilege and option (the "Option") to purchase up to 3,875,000 shares of Common
Stock (the "Option Shares") at a price of $4.46 per share (the "Exercise
Price"), in the manner and subject to the terms and conditions contained herein.
The grant of this Option shall be effective as of March 8, 2000 ("Grant Date").

         2. OPTION TERM. This Option shall specifically terminate ten (10) years
from the Grant Date ("Option Term"), and subject to the vesting terms set forth
in this Agreement, shall remain exercisable for the full Option Term,
notwithstanding the employment status of the Optionee.

         3. VESTING OF OPTION SHARES. The Option Shares shall vest and become
exercisable in accordance with the following schedule: (a) 34% of the Option
Shares shall become vested and exercisable on the Grant Date; and (b) 33% of the
Option Shares shall become vested and exercisable on each of the first and
second anniversaries of the Grant Date if Optionee is an employee of the
Corporation or a Subsidiary on such date; provided that if during the first year
after the Grant Date, the stock price of the Common Stock closes at or above
$12.00 for any twenty out of thirty consecutive trading days, the 33% of the
Option Shares due to vest on the first anniversary of the Grant Date shall vest
immediately at the end of the 20th day and provided further that if during the
second year of the Grant Date, the stock prices for the Common Stock closes at
or above $18.00 for any twenty out of thirty consecutive trading days, the 33%
of the Option Shares due to vest on the second anniversary of the Grant Date
shall vest immediately at the end of the 20th day. The Committee may in its
discretion, adjust the Exercise Price to reflect the effect of any stock split,
reverse stock split, recapitalization, stock dividend or similar event. In
addition, the Option Shares shall become immediately vested and fully
exercisable upon (i) a Change in Control, (ii) the occurrence of an event of
termination described in Section 9(e) of the Amended Employment Agreement, or
(iii) the

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occurrence of an event of termination described in Section 9(d) of the Amended
Employment Agreement. Any vested portion of the Option Shares not purchased on
its vesting date may be purchased thereafter; provided, however, that the Option
granted hereunder shall terminate upon the expiration of the Option Term.
Optionee shall have the right hereunder to purchase solely the Option Shares
which have become vested and exercisable under this Agreement and any portion of
the Option Shares which shall not have become vested and exercisable hereunder
shall terminate and be forfeited by Optionee upon termination of Optionee's
status as an employee of the Corporation.

         4. MANNER OF EXERCISE OF OPTIONS. To exercise the Options granted
herein, Optionee shall give written notice to the Corporation at its principal
executive office, to the attention of the Secretary of the Corporation,
accompanied by a proper notice of exercise setting forth the number of Option
Shares with respect to which the Option is to be exercised, and by payment of
the Exercise Price in one of the methods permitted by Section 9 8. Optionee
further agrees that in connection with any exercise of all or part of this
Option, Optionee shall deliver to the Corporation such sum, if any, as the
Corporation deems necessary to satisfy any withholding and other tax obligations
resulting from such exercise. Optionee may elect to surrender to the Corporation
shares of common stock already owned by Optionee or shares that would otherwise
have been acquired upon exercise to fulfill any tax withholding obligation. The
date on which the Corporation receives written notice of an exercise hereunder
accompanied by payment of the Exercise Price will be considered the date this
Option was exercised. Promptly, and in no event more than five business days
after receipt of written notice of exercise of all or part of this Option, the
Corporation shall deliver to Optionee or such other person a certificate or
certificates for the requisite number of Option Shares. Optionee or a permitted
transferee of this Option hereunder shall not have any privileges as a
stockholder of the Corporation with respect to any stock covered by this Option
until the date of issuance of a stock certificate for such Option Shares.

         5. CHANGES IN CAPITAL STRUCTURE. If the capital stock of the
Corporation is changed by reason of a stock split, reverse stock split, stock
dividend or recapitalization, or is converted into or exchanged for other
securities as a result of a merger, consolidation, or reorganization,
appropriate equitable adjustments shall be made in (a) the number and class of
shares of Common stock subject to this Option, and (b) the Exercise Price of
this Option; provided, however, that the Corporation shall not be required to
issue fractional shares as a result of any such adjustment.

         6. AUTHORIZED SHARES. The Corporation agrees to take all necessary and
appropriate steps to ensure that there are at all times sufficient authorized
shares of capital stock available for issuance upon exercise of this Option.

         7. TRANSFER OF OPTION. To the extent not prohibited by any statute,
rule or regulation applicable to this Option or the registration of the Option
Shares with the Securities and Exchange Commission, all or a portion of this
Option is transferable by Optionee, without consideration, to (i) Immediate
Family Members, (ii) a trust or trusts for the exclusive benefit of such
Immediate Family Members, or (iii) a partnership in which such Immediate Family
Members are the only partners. The right to transfer this Option is personal to
Optionee and any transferee of this Option shall not have the right to transfer
this Option to any person other than by the laws of descent and distribution.
The Corporation has no obligation to notify or otherwise provide any such
transferee notice of any early termination of the Option or this Agreement.

         8. PAYMENT OF EXERCISE PRICE. Except as provided below, payment of the
Exercise Price for the Option Shares shall be made (a) in cash, (b) by certified
check or bank cashier's check payable to the order of the Corporation in the
amount of such Exercise Price, (c) by delivery to the Corporation of shares of
Common Stock held by Optionee for at least six months having a fair market value
on the date of exercise equal to such Exercise Price, (d) by irrevocable
instructions to a broker to deliver promptly to the Corporation the amount of
sale or loan proceeds necessary to pay such Exercise Price and to sell the
shares of Common Stock to be issued upon exercise of this Option and deliver the
net cash proceeds (less the Exercise Price delivered to the Corporation and the
commissions and brokerage fees) to the Optionee or to deliver the remaining
shares of Common Stock to the Optionee, or (e) by any combination of the methods
of payment described in (a) through (d) above. Proceeds of any payment shall
constitute general funds of the Corporation.

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         9. GOVERNING LAW. This Option is granted pursuant to the Plan. This
Option is in all respects subject to the terms and conditions of the Plan, and
the terms of the Plan shall govern in the event of any inconsistency between the
Plan and this Agreement. This Agreement shall be interpreted and construed
according to and governed by the laws of the State of Delaware.

         10. AMENDMENTS. This Agreement may not be changed orally, but may be
changed only by an agreement in writing signed by the party against whom
enforcement of any waiver, change, modification or discharge is sought.

         11. SEVERABILITY. The invalidity or unenforceability of any provision
hereof shall in no way affect the validity or enforceability of any other
provision of this Agreement.

         12. AUTHORITY. The provisions of this Agreement required to be approved
by the Compensation Committee have been so approved and authorized.

         13. BENEFIT. This Agreement shall bind all parties, their respective
heirs, executors, administrators and assigns. Except as provided in Section 8 7
hereof, nothing contained herein shall be construed as an authorization or right
of any party to assign their respective rights or obligations hereunder and
Optionee shall have no right to assign this Option and any such attempted
assignment shall be ineffective. The Option, right and privilege herein granted
to Optionee to purchase Option Shares shall be binding upon the Corporation and
its successors or assigns.

         14. TERMINATION OF AGREEMENT. This Agreement shall terminate: (a) upon
the written agreement of all parties; or (b) upon the terms and conditions set
forth herein.

         15. DESIGNATION. This Option is intended to be a nonqualified stock
option whose grant is not intended to fall under the provisions of Internal
Revenue Code Section 422.

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         IN WITNESS WHEREOF, the parties hereto have executed this Agreement
effective as of the day and year first above written.

Attest:                                      Caremark Rx, Inc.

By: /s/ Amy Holliman                         By: /s/ Kirk McConnell
   -----------------------------                -----------------------------
Name: Amy Holliman                           Name: Kirk McConnell
     ---------------------------                  ---------------------------
Title: Director, Benefits                    Title: EVP/CAO
      --------------------------                   --------------------------

                                             /s/ Charles W. Newhall III
                                             -----------------------------------
                                             Charles W. Newhall III
                                             Compensation Committee Chairman

                                             Optionee

                                             /s/ E. Mac Crawford
                                             -----------------------------------
                                             E. Mac Crawford

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                                                                    EXHIBIT 10.6

                              AMENDED AND RESTATED
                              EMPLOYMENT AGREEMENT

         THIS EMPLOYMENT AGREEMENT (this "Agreement") is made and entered into
effective May 1, 2000, by and between Caremark Rx, Inc., a Delaware corporation
("Employer") and James H. Dickerson, Jr. ("Officer").

WHEREAS, Officer has served Employer in the role of Executive Vice President and
Chief Financial Officer pursuant to an Employment Agreement dated May 7, 1998;
and

         WHEREAS, Employer desires to retain the services of Officer and Officer
desires to serve Employer in the capacity of President and Chief Operating
Officer; and

         WHEREAS, Employer and Officer desire to set forth the terms and
conditions of Officer's continued employment with Employer under this Agreement.

         NOW, THEREFORE, in consideration of the foregoing recitals and of the
mutual covenants and agreements contained in this Agreement, the parties agree
as follows:

         1.       Term. Employer agrees to employ Officer, and Officer agrees to
serve Employer, in accordance with the terms of this Agreement, for a term (the
"Term") beginning on May 1, 2000, (the "Commencement Date") and ending, unless
earlier terminated in accordance with the provisions of this Agreement, on May
1, 2003. Such term shall be automatically extended for an additional year on
each anniversary of the Commencement Date, unless Employer provides notice of
non-extension to Officer at least 30 days prior to such anniversary.

         2.       Employment of Officer.

                  (a)      Specific Position. Employer and Officer agree that,
subject to the provisions of this Agreement, Employer will employ Officer and
Officer will serve Employer as President and Chief Operating Officer. Employer
agrees that Officer's duties under this Agreement shall be the usual and
customary duties of a President and Chief Operating Officer and, consistent with
the foregoing, as are determined from time-to-time by the Chief Executive
Officer of Employer, and shall not be inconsistent with the provisions of the
Certificate of Incorporation of Employer or applicable law.

                  (b)      Promotion of Employer's Business. Subject to the
provisions of Section 2(c), during the Term Officer shall devote his full
business time and energy to the business, affairs and interests of Employer and
related matters, and shall use his best efforts and abilities to promote
Employer's interests. Officer agrees that he will diligently endeavor to perform
services

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contemplated by this Agreement in accordance with the policies established by
the Chief Executive Officer of Employer and the Board of Directors of Employer
(the "Board"), subject to the provisions of the second sentence of Section 2(a).

                  (c)      Permitted Activities. Officer may serve as an
officer, director, agent or employee of any direct or indirect subsidiary or
other affiliate of Employer, but may not serve as an officer, director, agent or
employee of any other business enterprise without the written approval of the
Chief Executive Officer of Employer.

                  (d)      Principal Office. Officer's principal office and
normal place of work shall be at Employer's principal executive offices in
Birmingham, Alabama, and at the offices of Caremark, Inc. in Northbrook,
Illinois.

         3.       Salary. During the Term, Employer shall pay Officer a base
salary in the amount of $600,000 per calendar year (pro-rated for any partial
calendar year during the Term) payable in equal bi-weekly installments, less
state, federal tax and other legally required and Officer-authorized
withholdings. Such base salary shall be subject to review and adjustment by the
Board (or a Committee of the Board) from time-to-time consistent with past
practice; provided, however, that, during the Term, such base salary may not be
reduced below any previous level paid during the Term as a result of such
review, unless the salaries of all executive officers of Employer are reduced in
the same proportionate manner, but in no event shall such base salary be reduced
below $600,000 per calendar year during the Term.

         4.       Salary Advance. Promptly following execution of this
Agreement, Employer shall give Officer an advance in the amount of $600,000,
grossed up for income tax purposes. In the event officer voluntarily terminates
his employment, other than for good reason, prior to May 1, 2002, Officer shall
repay to Employer one-twenty fourth (1/24) of the advance for each full calendar
month such termination precedes May 1, 2002. If Officer remains employed through
May 1, 2002, then the advance will be forgiven.

         5.       Incentive Compensation. During the Term, Officer shall be
eligible to receive from Employer annual incentive compensation in an amount up
to one hundred percent (100%) of Officer's base salary (pro-rated for any
partial calendar year during the Term), payable on a quarterly basis, less state
and federal tax, and other legally required and Officer-authorized withholdings.
Provided, however, Officer desires and agrees to waive one-third (33.33%) of his
annual incentive compensation throughout the term in exchange for the
consideration set forth in Section 7 of this Agreement. The incentive
compensation contemplated by this Section 5 shall be payable to Officer solely
at the discretion of the Chief Executive Officer of Employer based upon
Officer's performance. The incentive compensation which Officer shall be
eligible to earn under this Section 5 shall be subject to review and adjustment
by the Board (or a Committee of the Board) from time-to-time consistent with
past practice.

         6.       Non-Qualified Stock Options. Officer shall receive a stock
option award (the "Award") covering non-qualified stock options to acquire
150,000 shares of common stock, par

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value $.001 per share, of Employer (the "Common Stock"), which Award shall be
made under the Amended and Restated MedPartners, Inc. Incentive Compensation
Plan (the "Plan") and shall be subject to the terms and conditions of the Plan
and the applicable stock option agreement evidencing the award.

         7.       Grant of Option in lieu of Partial Incentive Payment. As
consideration for Officer foregoing a portion of his annual incentive
compensation, as described in Section 5 of this Agreement, Employer shall make a
one-time grant to Officer of an option to purchase 195,931 shares of Common
Stock at an exercise price of $6.44 per share of Common Stock, which shall be
made under the Amended and Restated MedPartners, Inc. Incentive Compensation
Plan (the "Plan") and shall be subject to the terms and conditions of the Plan
and the applicable Stock Option Agreement. The parties acknowledge and agree
that the $6.44 exercise price represents 115% of the 50 day average price of the
Common Stock.

         8.       Benefits.

                  (a)      Fringe Benefits. In addition to the compensation and
other remuneration provided for in Sections 3, 4, 5, 6 and 7, Officer shall be
entitled, during the Term, to such other benefits of employment with Employer as
are now or may after the date of this Agreement be in effect for (i) salaried
officers of Employer or (ii) senior executives of Employer, including, without
limitation, all special bonus and deferred compensation, pension, stock option,
life, disability (insured and uninsured), medical, dental and other insurance,
and benefit plans or programs.

                  (b)      Expenses. During the Term, Employer shall reimburse
Officer promptly for all reasonable travel, entertainment, parking, business
meeting and similar expenditures in pursuit and furtherance of Employer's
business upon receipt of reasonable supporting documentation as required by
Employer's policies applicable to its officers generally.

                  (c)      Corporate Apartment. Employer shall provide Officer
use of an apartment for his use in the greater Northbrook, Illinois, area at no
expense to Officer. Additionally, Employer shall provide for the movement of
household goods and personal automobiles as requested by Officer.

                  (d)      Corporate Aircraft. Officer shall have use of a
corporate aircraft for both his business travel and his commute to and from his
personal residences at no cost to Officer.

         9.       Termination.

                  (a)      Termination Due to Resignation and Termination For
Cause. Officer's employment under this Agreement shall be terminated and, except
as provided in this Section 9, all of Officer's rights to receive salary and
other benefits (except for salary, incentive compensation and other benefits
accrued through the date of termination) shall terminate upon the occurrence of
(i) Officer's resignation, other than for "good reason" as defined in Section
9(e), or (ii) termination by Employer for "cause," as defined below. Employer
shall have the right, exercisable upon 30 days'

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written notice, to terminate, without liability except as provided in the
parenthetical in the preceding sentence, Officer's employment for "cause" if
Officer (i) materially breaches any material term of this Agreement, (ii) is
convicted by a court of competent jurisdiction of a felony, (iii) refuses, fails
or neglects to perform his duties under this Agreement in a manner substantially
detrimental to the business of the Employer, (iv) engages in illegal or other
wrongful conduct substantially detrimental to the business or reputation of
Employer, or (v) develops or pursues interests substantially adverse to
Employer; provided, however, that in the case of clauses (i), (iii) or (v), no
such termination shall be effective unless (1) Employer shall have given Officer
30 days' prior written notice of any conduct or deficiency in performance by
Officer that Employer believes could, if not discontinued or corrected, lead to
Officer's termination under this Section 9(a) in order that Officer shall have
had an opportunity to cure such noncomplying conduct or performance, and (2)
Officer shall not have cured such noncomplying conduct or performance during
such notice period. In the event Officer's employment under this Agreement is
terminated pursuant to this Section 9(a), any stock option or other stock-based
compensation award then held by Officer shall be governed by the terms of the
plan and/or agreement pursuant to which such award was granted.

                  (b)      Termination Due to Death or Disability. Officer's
employment and all of his rights to receive salary and other benefits under this
Agreement may be terminated by Employer upon Officer's death, or on 30 days'
written notice from Employer if Officer has been unable to perform substantially
all of his duties under this Agreement for a period of 180 days, or can
reasonably be expected to be unable to do so for such period, as the result of
physical or mental impairment; provided, however, that upon any termination by
Employer pursuant to this Section 9(b), Officer (or in the event of his death,
his estate) shall be entitled to receive the Specified Amount (as defined
below), in cash in a lump sum payment on the date of termination and any stock
option or other stock-based compensation award to Officer shall be governed by
the terms of the plan and/or agreement pursuant to which such award was granted.
The term "Specified Amount" shall mean the sum of: (i) the total of all salary
payments pursuant to Section 3 that would have come due during the Term had
there been no such termination; and (ii) any portion or portions of any bonus or
other cash incentive compensation that had been accrued with respect to Officer
on the books of Employer through the date of termination pursuant to this
Section 9(b) or otherwise.

                  (c)      Termination Without Cause. Subject to compliance with
the provisions of Section 9(d), Employer shall have the right, exercisable on 30
days' written notice, to terminate Officer's employment under this Agreement
without cause at any time during the Term.

                  (d)      Payments Upon Termination Without Cause. If Officer
is terminated by Employer without cause pursuant to Section 9(c), then (i)
Officer shall be entitled to receive the Specified Amount in a lump sum payment
in cash on the date of such termination; (ii) any stock option or other
stock-based compensation award to Officer shall be governed by the terms of the
plan and/or agreement pursuant to which such award was granted; and (iii)
Officer shall be entitled to continue to receive during the remainder of the
Term the life and other insurance, disability and medical and dental benefits
contemplated by Section 8 as if there had been no such termination, or if the
terms of the applicable benefit plan or policy does not permit continued
coverage, then Employer

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shall pay to Officer the replacement costs of such benefits and coverage for the
remainder of the term.

                  (e)      Termination By Officer For Good Reason. Officer shall
be entitled to terminate his employment under this Agreement for "good reason"
and in such event shall be entitled to all of the salary, benefits and other
rights provided in this Agreement as though the termination was initiated by
Employer without "cause" pursuant to Section 9(c). For purposes of this
Agreement, "good reason" shall mean any of the following events, which event
shall continue for 30 days after notice to the Employer, unless the event occurs
with Officer's express prior written consent:

                           (i)      the assignment to Officer of any duties
inconsistent with Officer's status as President and Chief Operating Officer of
Employer;

                           (ii)     a reduction by Employer in Officer's annual
base salary below $600,000 per calendar year;

                           (iii)    the failure of Employer to comply with
Sections 3, 4, 5, 6, 7 or 8 of this Agreement; or

                           (iv)     any other material breach of this Agreement
by Employer.

                  (f)      Termination Upon a Change of Control. In the event of
a Change of Control (as defined below), Officer shall have the right to request
at any time during the 30 day period following the consummation of such Change
of Control that the surviving corporation or organization in such Change of
Control (the "Surviving Entity") acknowledge and confirm in writing to Officer
that the Surviving Entity has assumed all of Employer's rights and obligations
in this Agreement in connection with such Change of Control (the "Employment
Confirmation"). If the Surviving Entity in a Change of Control shall fail to
provide Officer with an Employment Confirmation within 30 days of Officer's
written request for same, then Officer shall be entitled to terminate his
employment during the period commencing 31 days after Officer's written request
for an Employment Confirmation and terminating 61 days after Officer's written
request for an Employment Confirmation. In the event Officer terminates his
employment pursuant to the immediately preceding sentence of this Section 9(f),
then Officer shall be entitled to: (i) those payments and rights provided under
Section 9(d) as though the termination has been initiated by Employer without
cause pursuant to Section 9(c); and (ii) a Gross-Up Payment to the extent
provided by the second paragraph of this Section 9(f). A Change of Control shall
be deemed to have taken place upon the occurrence of any of the following
events: (a) the acquisition after the date of this Agreement, in one or more
transactions, of beneficial ownership (within the meaning of Rule 13d-3(a)(1)
under the Securities Exchange Act of 1934, as amended (the "Exchange Act")) by
any person or entity (other than Officer) or group of persons or entities (other
than Officer) who constitute a group (within the meaning of Section 13(d)(3) of
the Exchange Act) of any securities of Employer such that as a result of such
acquisition such person or entity or group beneficially owns (within the meaning
of Rule 13d-3(a)(1) under the Exchange Act) more than 50% of Employer's then

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outstanding voting securities entitled to vote on a regular basis for a majority
of the Board; or (b) the sale of all or substantially all of the assets of
Employer (including, without limitation, by way of merger, consolidation, lease
or transfer) in a transaction where Employer or the holders of common stock of
Employer do not receive (i) voting securities representing a majority of the
voting power entitled to vote on a regular basis for the Board of Directors of
the acquiring entity or of an affiliate that controls the acquiring entity or
(ii) securities representing a majority of the equity interests in the acquiring
entity or of an affiliate that controls the acquiring entity.

                  A Gross-Up Payment shall be payable upon termination of
employment pursuant to this Section 9(f) on and subject to the following terms
and conditions:

                           (i)      If Employer determines that any payment,
option vesting or other benefit (a "Termination Payment") to Officer under this
Section 9(f) is or will be subject to the tax (the "Excise Tax") imposed by
Section 4999 of the Internal Revenue Code of 1986, as amended (the "Code") or an
Excise Tax is properly assessed against Officer based on a Termination Payment,
Employer shall pay to Officer, at the time the applicable Termination Payment is
made or the Excise Tax is assessed, an additional amount (the "Gross-Up
Payment") such that the net amount retained by Officer, after the payment in
full of any Excise Tax on such Termination Payment and any federal, state and
local income tax and Excise Tax on the Gross-Up Payment and any related interest
and penalties, shall be not less than the amount or value of such Termination
Payment. For purposes of determining whether any such Termination Payment will
be subject to the Excise Tax, Employer shall take into account any other
payments, option vesting or benefits received or to be received by Officer in
connection with an event giving rise to a Termination Payment (whether pursuant
to the terms of this Agreement or any other plan, arrangement or agreement with
Employer, with any person whose actions result in the Change of Control or with
any person affiliated with Employer or such person) in accordance with Section
280G of the Code and any related regulations (whether temporary, proposed or
final) and Internal Revenue Service Rulings and applicable case law.

                           (ii)     For purposes of determining the amount of
any Gross-Up Payment, Officer shall be deemed to pay federal income taxes at the
highest marginal rate of federal income taxation in the calendar year in which
the applicable Termination Payment or Gross-Up Payment is made, and shall be
deemed to pay state and local income taxes at the highest marginal rates of
taxation in the state and locality of Officer's residence on the date the
applicable Termination Payment or Gross-Up Payment is made, net of the maximum
reduction in federal income taxes that could be obtained from deduction of such
state and local taxes.

                           (iii)    If the Excise Tax or income tax payable with
respect to a Gross-Up Payment as finally determined exceeds the amount taken
into account or paid to Officer at the time the applicable Termination Payment
or Gross-Up Payment is made (including by reason of any payment the existence or
amount of which cannot be determined at the time of the applicable Gross-Up
Payment), Employer shall make an additional Gross-Up Payment in respect of such
excess at the time that the amount of such excess is finally determined.

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                           (iv)     If a Gross-Up Payment is made as a result of
the assessment of an Excise Tax, Officer at Employer's request and expense shall
take such action as reasonable and appropriate to challenge such assessment or
recover (on Employer's behalf) such Excise Tax.

         10.      Trade Secrets, Confidentiality and Noncompetition.

                  (a)      Trade Secrets. Officer agrees and covenants that,
both during the Term and after termination of his employment, Officer will hold
in a fiduciary capacity for the benefit of Employer, and shall not directly or
indirectly use or disclose, except as authorized by Employer in connection with
the performance of Officer's duties, any Trade Secret, as defined below, that
Officer may have or acquire during the Term for so long as the such information
remains a Trade Secret. The term "Trade Secret", as used in this Agreement,
shall mean information including, but not limited to, technical or non-technical
data, a formula, a pattern, a compilation, a program, a device, a method, a
technique, a drawing, a process, financial data, financial plans, product plans,
or a list of actual or potential customers or suppliers, including without
limitation, information received by Employer or Officer from any client or
potential client of Employer, which:

                           (i)      derives economic value, actual or potential,
                                    from not being generally known to, and not
                                    being readily ascertainable by proper means
                                    by, other persons who can obtain economic
                                    value from its disclosure or use; and

                           (ii)     is the subject of reasonable efforts by
                                    Employer or the client from which the
                                    information was received to maintain its
                                    secrecy.

                  (b)      Confidentiality. In addition to the covenants set
forth in Section 10(a) and not in limitation of those covenants, Officer agrees
that, during the Term and for a period of five (5) years after termination of
his employment, Officer will hold in a fiduciary capacity for the benefit of
Employer and shall not directly or indirectly use or disclose, except as
authorized by Employer in connection with the performance of Officer's duties,
any Confidential or Proprietary Information, as defined below, that Officer may
have or acquire (whether or not developed or compiled by Officer and whether or
not Officer has been authorized to have access to such Confidential or
Proprietary Information) during the Term. The term "Confidential or Proprietary
Information", as used in this Agreement, means any secret, confidential or
proprietary information of Employer, including information received by Employer
or Officer from any client or potential client of Employer, not otherwise
included in the definition of "Trade Secret" in Section 10(a) above. The term
"Confidential or Proprietary Information" does not include information that has
become generally available to the public by the act of one who has the right to
disclose such information without violating any right of the client to which
such information pertains.

                  (c)      Restrictions Supplemental to State Law. The
restrictions set forth in Sections 10(a) and (b) are in addition to and not in
lieu of protections afforded to trade secrets and confidential information under
applicable state law. Nothing in this Agreement is intended to or shall be
interpreted as diminishing or otherwise limiting Employer's right under
applicable state law to protect its trade secrets and confidential information.

                                      -7-
<PAGE>   8

                  (d)      Noncompetition. In order to protect any confidential
information that Officer may learn during the Term and to protect any goodwill
that Employer has earned and may earn during the Term, Officer agrees that, if
Officer voluntarily terminates this Agreement without good reason during the
Term he shall not, at any location within a fifty (50) mile radius of any office
or business operation of Employer or any of its' subsidiaries, for a period of
24 months after such termination, provide services, as an employee, officer,
director, consultant or otherwise, which services are substantially similar to
the services performed by Officer under this Agreement, for any company, firm or
entity that is engaged in Employer's Business. Employer's Business shall consist
of: (a) the provision of prescription benefit management services; and (b) the
provision of disease management of chronic illnesses and/or the dispensation of
medication for the treatment of chronic illnesses.

         11.      Miscellaneous.

                  (a)      Successors and Assigns. This Agreement shall inure to
the benefit of and shall be binding upon Employer, its successors and assigns,
and Employer shall be entitled to assign its rights and obligations to the
surviving corporation or organization in a Change of Control without the consent
of Officer. The obligations and duties of Officer under this Agreement shall be
personal and not assignable by Officer.

                  (b)      Notices. Any notice, request, instruction or other
document to be given under this Agreement by any party to the others shall be in
writing and delivered in person or by courier, telegraphed, telexed or sent by
facsimile transmission or mailed by certified mail, postage prepaid, return
receipt requested (such mail notice to be effective on the date such receipt is
acknowledged), as follows:

                           If to Officer:

                                    James H. Dickerson, Jr.
                                    3588 Fair Oaks Lane
                                    Long Boat Key, Florida 34288

                           If to Employer:

                                    Caremark Rx, Inc.
                                    3000 Galleria Tower
                                    Suite 1000
                                    Birmingham, Alabama 35244
                                    Attn: Chief Executive Officer

                                      -8-
<PAGE>   9

or to such other place and with such other copies as either party may designate
as to itself by written notice to the others.

                  (c)      Entire Agreement. This Amended and Restated
Employment Agreement contains the entire agreement of the parties relating to
the subject matter contained in this Agreement, and it replaces and supersedes
any prior agreements between the parties relating to said subject matter.

                  (d)      Waiver and Amendment. No provision of this Agreement
may be waived except by a written agreement signed by the waiving party. The
waiver of any term or of any condition of this Agreement shall not be deemed to
constitute the waiver of any other term or condition. This Agreement may be
amended only by a written agreement signed by each of the parties.

                  (e)      Governing Law. This Agreement shall be construed
under and governed by the internal laws of the State of Alabama.

                  (f)      Arbitration. Except for a claim by Employer for
injunctive relief, any disputes or controversies arising out of or relating to
this Agreement including any breach, Officer's employment or termination of
employment by Employer, including any claim of employment discrimination, or the
arbitrability of any matter under this Agreement, shall be settled by
arbitration in Birmingham, Alabama, in accordance with the Federal Arbitration
Act and the employment dispute arbitration rules of the American Arbitration
Association. Employer agrees to pay the administrative costs and expenses
required by such arbitration, including the fees and expenses of the
arbitrator(s). The determination and findings of such arbitrators shall be final
and binding on all parties and may be enforced, if necessary, in any court of
competent jurisdiction in the federal or state courts in Birmingham, Alabama.

                  (g)      Attorneys' Fees in Action by Employee on Contract. In
the event of litigation or arbitration between Officer and Employer arising out
of or as a result of this Agreement, or the acts of the parties pursuant to this
Agreement, or seeking an interpretation of this Agreement, if Officer is the
party in such litigation or arbitration, in addition to any other judgment or
award, he shall be entitled to receive such sums as the court or panel hearing
the matter shall find to be reasonable attorneys' fees.

                  (h)      Remedies of Employer. Officer acknowledges that the
services he is obligated to render under the provisions of this Agreement are of
a special, unique and intellectual character, that gives this Agreement peculiar
value to Employer. The loss of these services cannot be reasonably or adequately
compensated in damages in an action at law and it would be difficult (if not
impossible) to replace such services. Accordingly, Officer agrees and consents
that, if he materially violates any of the material provisions of this
Agreement, including, without limitation, Section 10, Employer, in addition to
any other rights and remedies available under this Agreement or under applicable
law, shall be entitled during the remainder of the Term (and, in the case of
Section 10, after the Term to the extent provided in Section 10) to seek
injunctive relief, from a court of

                                      -9-
<PAGE>   10

competent jurisdiction, restraining Officer from committing or continuing any
violation of this Agreement, or from the performance of services to any other
business entity, or both.

                  (i)      Captions. Captions have been inserted solely for the
convenience of reference and in no way define, limit or describe the scope or
substance of any provisions of this Agreement.

                  (j)      Severability. If this Agreement shall for any reason
be or become unenforceable by any party, this Agreement shall terminate and
become unenforceable by the other party as well. In all other respects, if any
provision of this Agreement is held invalid or unenforceable, the remainder of
this Agreement shall nevertheless remain in full force and effect and, if any
provision is held invalid or unenforceable with respect to particular
circumstances, it shall nevertheless remain in full force and effect in all
other circumstances; provided, however, that if any one or more of the terms
contained in Section 10 shall for any reason be held to be excessively broad
with regard to time, duration, geographic scope or activity, that term shall not
be deleted, but shall be reformed and construed in a manner to enable it to be
enforced to the greatest extent compatible with applicable law.

         IN WITNESS WHEREOF, the parties have executed this Agreement as of the
date first above written.

           Attest:                         CAREMARK RX, INC.

  By: /s/ Kirk McConnell                   /s/ E. Mac Crawford
     --------------------------            -------------------------------------
  Name: Kirk McConnell                     E. Mac Crawford
       ------------------------            Chairman and Chief Executive Officer
  Title: SVP HR
        -----------------------

                                                /s/ James H. Dickerson, Jr.
                                                ---------------------------
                                                  James H. Dickerson, Jr.

                                      -10-

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