Document:

<PAGE>   1
                                                                    EXHIBIT 10.1

                                AMENDMENT NO. 19

                                       TO

                    THE AMENDED AND RESTATED CREDIT AGREEMENT

                             DATED AS OF JUNE 9, 1998

                                      AMONG

                                CAREMARK RX, INC.
                      (FORMERLY KNOWN AS MEDPARTNERS, INC.)

                                       AND

                             THE BANKS PARTY HERETO

                                CLOSING DOCUMENTS

<PAGE>   2

                     AMENDMENT NO. 19 TO THE LOAN DOCUMENTS

         AMENDMENT NO. 19 TO THE LOAN DOCUMENTS dated as of August 28, 2000 to
the Amended and Restated Credit Agreement dated as of June 9, 1998 (as amended
and otherwise modified by Amendment and Waiver No. 1 to the Loan Documents dated
as of December 4, 1998, Amendment No. 2 to the Loan Documents dated as of
January 13, 1999, Amendment No. 3 to the Loan Documents dated as of February 9,
1999, Amendment and Waiver No. 4 to the Loan Documents dated as of March 18,
1999, Amendment and Waiver No. 5 to the Loan Documents dated as of April 1,
1999, Amendment No. 6 to the Loan Documents dated as of April 14, 1999,
Amendment No. 7 to the Loan Documents dated as of June 29, 1999, Amendment No. 8
to the Loan Documents dated as of August 2, 1999, Amendment No. 9 to the Loan
Documents dated as of August 16, 1999, Amendment No. 10 to the Loan Documents
dated as of August 23, 1999, Amendment No. 11 to the Loan Documents dated as of
August 30, 1999, Amendment No. 12 to the Loan Documents dated as of September
14, 1999, Amendment No. 13 to the Loan Documents dated as of November 5, 1999,
Amendment No. 14 to the Loan Documents dated as of December 16, 1999, Amendment
No. 15 to the Loan Documents dated as of January 20, 2000, Amendment No. 16 to
the Loan Documents dated as of February 3, 2000, Amendment No. 17 to the Loan
Documents dated as of April 10, 2000, and Amendment No. 18 to the Loan Documents
dated as of May 2, 2000, the "CREDIT AGREEMENT") among Caremark Rx, Inc.
(formerly known as MedPartners, Inc.), a Delaware corporation (the "BORROWER"),
the Lenders party thereto, Bank of America, N.A. (formerly NationsBank, N.A.;
"BOFA"), as the Initial Issuing Bank and the Swing Line Bank thereunder, Credit
Lyonnais New York Branch, The First National Bank of Chicago and Morgan Guaranty
Trust Company of New York, as the Syndication Agents therefor, Banc of America
Securities LLC (formerly NationsBanc Montgomery Securities LLC), as the Arranger
therefor, and BofA, as the Administrative Agent for the Lender Parties
thereunder. Capitalized terms not otherwise defined in this Amendment have the
same meanings as specified therefor in the Credit Agreement.

                             PRELIMINARY STATEMENTS

         (1)      The Borrower has requested that the Lender Parties agree to
amend the Credit Agreement as provided herein in connection with the resolution
of the California Transition Plan.

         (2)      The Lender Parties have indicated their willingness to agree
to amend the Credit Agreement.

         NOW, THEREFORE, in consideration of the premises and of the mutual
covenants and agreements contained herein and in the Loan Documents, the parties
hereto hereby agree as follows:

         SECTION  1.       Amendments of Certain Provisions of the Credit
Agreement. The Credit Agreement is, upon the occurrence of the Amendment
Effective Date (as hereinafter defined), hereby amended as follows:

         (a)      Section 1.01 of the Credit Agreement is hereby amended to
restate the following definitions set forth therein in their entirety as
follows:

                  "CALIFORNIA SETTLEMENT AGREEMENT" means the Second Amended and
         Restated Operations and Settlement Agreement among the Commissioner of
         the Department of Corporations of the State of California, the Director
         of the Department of Managed Care of the State of California, as
         successor in interest to the Commissioner of the Department of
         Corporations, the Department of Managed Care of the State of
         California, as successor in interest

<PAGE>   3

         to the Department of Corporations of the State of California, J. Mark
         Abernathy, as Special Monitor-Examiner, the Borrower and MPN, in the
         form attached to the Disclosure Statement which accompanied the MPN
         Plan of Reorganization, as amended, supplemented or otherwise modified
         from time to time in accordance with the terms thereof, but solely to
         the extent permitted under the terms of the Loan Documents.

                  "CALIFORNIA TRANSITION PLAN" means the transition plan for
         the orderly sale or other disposition of all of the California Property
         and Assets and the resolution of all of the liabilities and obligations
         of the Borrower and the California Subsidiaries related thereto, all as
         contemplated by the California Settlement Agreement and the California
         Transition Plan Documents. For purposes of the Loan Documents, the
         California Transition Plan shall not be deemed to have been adopted
         until the Administrative Agent and the Lender Parties shall have
         received an opinion of King & Spalding, special counsel for the Loan
         Parties, in substantially the form of Exhibit F-7 hereto and all
         conditions to effectiveness of the California Settlement Agreement
         shall have been satisfied or waived on or prior to October 31, 2000.

                  "CALIFORNIA TRANSITION PLAN DOCUMENTS" means the California
         Settlement Agreement, the Supplemental Plan Agreement and the MPN Plan
         of Reorganization, in each case as such agreement, instrument or other
         document may be amended, supplemented or otherwise modified from time
         to time in accordance with the terms thereof, but solely to the extent
         permitted under the terms of the Loan Documents.

                  "MEDPARTNERS FUNDING COMMITMENT" has the meaning specified in
         Section 3.5(a) of the California Settlement Agreement.

                  "SUPPLEMENTAL PLAN AGREEMENT" means the Amended and Restated
         Supplemental Plan Agreement, among MPN, the Borrower, Consenting MPI
         Subs (as defined therein), Consenting MPPs (as defined therein) and the
         Consenting Plans (as defined therein), in the form attached to the
         Disclosure Statement which accompanied the MPN Plan of Reorganization,
         as amended, supplemented or otherwise modified from time to time in
         accordance with the terms thereof, but solely to the extent permitted
         under the terms of the Loan Documents.

                  (b)      Section 1.01 of the Credit Agreement is hereby
further amended to add the following new definition in their appropriate
alphabetical order:

                  "AMENDMENT NO. 19 EFFECTIVE DATE" means the first date on
         which all of the conditions precedent to the effectiveness of Amendment
         No. 19 to the Loan Documents were satisfied.

                  "MPN PLAN OF REORGANIZATION" means the Second Amended Chapter
         11 Plan of MedPartners Provider Network, Inc. dated July 7, 2000, as
         amended, supplemented or otherwise modified from time to time in
         accordance with the terms thereof, but solely to the extent permitted
         under the terms of the Loan Documents.

                  (c)       Section 2.01(e) is amended to (i) delete the word
"or" after the phrase "5.02(e)(iii)(C)" and to substitute therefor the
punctuation ",", (ii) delete the phrase "hereof or, upon adoption of the
California Transition Plan, as required under Section 3.5(c) or 3.6 of the
California Settlement Agreement" in the third parenthetical in the second
sentence thereof, and to (iii) substitute therefor the following phrase: " and
5.02(e)(iii)(E)".

                  (d)      Section 2.05 is amended to delete the date "January
31, 2000" in subclause (b)(vii)(B) thereof and to substitute therefor the new
date "October 31, 2000".

                                       2
<PAGE>   4

                  (e)      Section 5.02(a)(ix) is amended to delete the phrase
"Amendment No. 7 Effective Date" in subclause (A) thereof".

                  (f)      Section 5.02(b)(viii) is amended to delete the
parenthetical in subclause (2) thereof and to substitute therefor the following
parenthetical: "(other than Letters of Credit issued for the payment of certain
eligible 'Managed Physician Practice Provider Claims', 'MPN Provider Claims',
and 'Plan Preserved Claims' (as such quoted terms are defined in the California
Settlement Agreement) in aggregate face amount not to exceed $40,000,000 and
otherwise as required under the California Settlement Agreement)".

                  (g)      Section 5.02(e)(iii)(D)(2)(y) is amended to delete
the parenthetical therein and to substitute therefor the following parenthetical
"(other than Letters of Credit issued for the payment of certain eligible
'Managed Physician Practice Provider Claims', 'MPN Provider Claims', and 'Plan
Preserved Claims, (as such quoted terms are defined in the California Settlement
Agreement) in aggregate face amount not to exceed $40,000,000 and otherwise as
required under the California Settlement Agreement)".

                  (h)      Section 5.02(e)(iii)(E) is reinstated in its entirety
to read as follows:

                  "(E) the Borrower in MPN and the other California Subsidiaries
                  from time to time after the adoption of the California
                  Transition Plan with the proceeds of payments made by the
                  Borrower under the MedPartners Funding Commitment or comprised
                  of the issuance of Letters of Credit issued for the payment of
                  certain eligible 'Managed Physician Practice Provider Claims',
                  'MPN Provider Claims', and 'Plan Preserved Claims' (as such
                  quoted terms are defined in the California Settlement
                  Agreement) in aggregate face amount not to exceed $40,000,000
                  and otherwise as required under the California Settlement
                  Agreement".

                  (i) Section 5.03(u) is amended to delete the phrase "Amendment
No. 7 Effective Date" in subclauses (ii) and (iii) thereof.

                  (j) Exhibit F-7 to the Credit Agreement is amended in full to
read as Annex A hereto.

         SECTION  2.       Conditions Precedent to the Effectiveness of this
Amendment. This Amendment shall become effective as of the date hereof if on or
before August 28, 2000, each of the following conditions have been satisfied
(such date when the conditions are satisfied being the "AMENDMENT EFFECTIVE
DATE"):

                  (a)      The Administrative Agent shall have received on or
before 5:00 p.m. (Charlotte time) on August 28, 2000, (i) counterparts of this
Amendment executed by the Borrower and the Required Lenders or, as to any of the
Lender Parties, advice satisfactory to the Administrative Agent that such Lender
Party has executed this Amendment and (ii) counterparts of the Consent attached
hereto executed and delivered by each of the Loan Parties (other than the
Borrower).

                  (b)      The representations and warranties set forth in each
of the Loan Documents shall be correct in all material respects on and as of the
Amendment Effective Date, before and after giving effect to this Amendment, as
though made on and as of such date (except (i) for any such representation and
warranty that, by its terms, refers to a specific date other than the Amendment
Effective Date, in which case as of such specific date, (ii) that the
Consolidated financial statements of the Borrower and its Subsidiaries referred
to in Sections 4.01(f) and 4.01(g) of the Credit Agreement shall be deemed to
refer

                                       3
<PAGE>   5

to the Consolidated financial statements of the Borrower and its Subsidiaries
comprising part of the Required Financial Information most recently delivered to
the Administrative Agent and the Lender Parties pursuant to Sections 5.03(b) and
5.03(c), respectively, on or prior to the Amendment Effective Date and (iii)
that the forecasted Consolidated financial statements of the Borrower and its
Subsidiaries referred to in Section 4.01(h) of the Credit Agreement shall be
deemed to refer to the forecasted Consolidated financial statements of the
Borrower and its Subsidiaries most recently delivered to the Administrative
Agent and the Lender Parties prior to the Amendment Effective Date).

         (c)      No event shall have occurred and be continuing, or shall
result from the effectiveness of this Amendment, that constitutes a Default.

         (d)      All of the reasonable fees and expenses of the Administrative
Agent and the Arranger (including the reasonable fees and expenses of counsel
for the Administrative Agent) due and payable on or before the Amendment
Effective Date shall have been paid in full.

         The effectiveness of this Amendment is further conditioned upon the
accuracy of all of the factual matters described herein. This Amendment is
subject to the provisions of Section 8.01 of the Credit Agreement.

         SECTION  3.       Representations and Warranties of the Borrower. In
connection with and in order to induce the Lenders to enter into this Amendment,
the Borrower hereby represents and warrants as follows:

         (a)      Consenting Plans constituting 95% of capitation amounts
payable to MPN for May 1999 have agreed to take back all of their institutional
risk associated with the health care service providers in the State of
California effective as of no later than July 15, 1999;

         (b)      The MPN Management Agreement has been amended by the Borrower
and MPN and such amendment provides for the Borrower to receive reimbursement on
a monthly basis of a good faith estimate of the costs and expenses incurred by
it in the performance of its Obligations under the MPN Management Agreement
(such estimate to be made on the basis set forth in Schedule 3.2 of the
California Settlement Agreement) and for the termination of the MPN Management
Agreement upon the termination or expiration of the California Settlement
Agreement or the California Transition Plan;

         (c)      All of the property, assets, operations and management
responsibilities of MPN has been restored to MPN itself as the debtor in
possession under Chapter 11 of the United States Bankruptcy Code and to the
Borrower (with the Special Monitor-Examiner (as defined in the California
Settlement Agreement) thereafter having not more than oversight and supervisory
responsibilities therefor);

         (d)      No proceedings are pending or overtly threatened for the
enjoinment, suspension, revocation, termination or modification of any aspect of
the California Transition Plan;

         (e)      The representations and warranties made by the Borrower or any
of its Subsidiaries in the Loan Documents to which it is or is to be a party are
accurate in all material respects as though made on and as of such date, before
and after giving effect to the California Transition Plan and to the
transactions contemplated thereby; and

         (f)      No event has occurred and is continuing, or would result from
the adoption of the California Transition Plan or the consummation of the
transactions contemplated thereby, that would constitute a Default.

                                       4
<PAGE>   6

         SECTION  4.       Reporting Obligations. To induce the Lender to enter
into this Amendment, the Borrower agrees that it will deliver promptly upon
request by the Agent or any Lender (1) copies of all of the California
Transition Plan Documents (other than the sale agreements and related
documentation for the disposition of the California Property and Assets in
accordance with the California Settlement Agreement) entered into or intended to
be entered into prior to the "effective date" of the California Settlement
Agreement, in each case duly executed by the parties thereto, and (2) copies of
all of the reports, analyses and opinions being delivered pursuant to the terms
of the California Transition Plan Documents to the Borrower, the State of
California or any of the other Persons consenting to, bound by or benefiting
from the California Transition Plan that evaluate or analyze all or any portion
of the property, assets, liabilities, businesses or operations of the Borrower
or any of its Subsidiaries or any aspect of the California Transition Plan
(including, without limitation, those reports and opinions attached as Schedule
4.3 of the California Settlement Agreement).

         SECTION  5.       Reference to and Effect on the Loan Documents. (a) On
and after the Amendment Effective Date, each reference in the Credit Agreement
to "this Agreement," "hereunder," "hereof" or words of like import referring to
the Credit Agreement, and each reference in the Notes and each of the other Loan
Documents to "the Credit Agreement," "thereunder," "thereof" or words of like
import referring to the Credit Agreement, shall mean and be a reference to the
Credit Agreement, as amended by this Amendment.

         (b)      The Credit Agreement, the Notes and each of the other Loan
Documents, as amended by the amendments specifically provided above in Section
1, are and shall continue to be in full force and effect and are hereby in all
respects ratified and confirmed. The execution, delivery and effectiveness of
this Amendment shall not, except as expressly provided herein, operate as a
waiver of any right, power or remedy of any of the Guaranteed Parties or the
Administrative Agent under any of the Loan Documents, or constitute a waiver of
any provision of any of the Loan Documents.

         SECTION  6.       Costs and Expenses. The Borrower hereby agrees to
pay, upon demand, all of the reasonable costs and expenses of the Administrative
Agent and the Arranger (including, without limitation, the reasonable fees and
expenses of counsel for the Administrative Agent) in connection with the
preparation, execution, delivery, administration, modification and amendment of
this Amendment and all of the agreements, instruments and other documents
delivered or to be delivered in connection herewith, all in accordance with the
terms of Section 8.04 of the Credit Agreement.

         SECTION  7.       Execution in Counterparts. This Amendment may be
executed in any number of counterparts and by different parties hereto in
separate counterparts, each of which when so executed shall be deemed to be an
original and all of which taken together shall constitute one and the same
agreement. Delivery of an executed counterpart of a signature page to this
Amendment by telecopier shall be effective as delivery of a manually executed
counterpart of this Amendment.

         SECTION  8.       Governing Law. This Amendment shall be governed by,
and construed in accordance with, the laws of the State of New York.

                                       5
<PAGE>   7
         IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be
executed by their respective officers, thereunto duly authorized, as of the date
first written above.

                                    THE BORROWER

                                    CAREMARK RX, INC.
                                    (formerly known as MEDPARTNERS, INC.)

                                    By  /s/ Peter Clemens
                                       ----------------------------------
                                       Name:  Peter Clemens
                                       Title: SVP Finance & Treasurer

                                    THE ADMINISTRATIVE AGENT

                                    BANK OF AMERICA, N.A.

                                    By /s/ Jon Hudson
                                       -----------------------------------
                                       Name:  Jon Hudson
                                       Title: Associate

                                       6
<PAGE>   8

                                        THE LENDER PARTIES

                                        BANK OF AMERICA, N.A., as a Lender,
                                        the Swing Line Bank and the Issuing Bank

                                        By /s/ William D. Duke
                                           -------------------------------------
                                           Name: William D. Duke
                                           Title: Principal

                                        AMSOUTH BANK

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

                                        THE CHASE MANHATTAN BANK

                                        By /s/ Dawn Lee Lum
                                           -------------------------------------
                                           Name:  Dawn Lee Lum
                                           Title: Vice President

                                        CITIBANK, N.A.

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

                                        CREDIT LYONNAIS NEW YORK BRANCH

                                        By /s/ Charles H. Heidsieck
                                           -------------------------------------
                                           Name:  Charles H. Heidsieck
                                           Title: Senior Vice President

                                        DEBT STRATEGIES FUND, INC.

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

                                       7

<PAGE>   9
                                      BANK ONE, NA (f/k/a THE FIRST NATIONAL
                                      BANK OF CHICAGO)

                                      By  /s/ L. Richard Schiller
                                          ----------------------------------
                                          Name:   L. Richard Schiller
                                          Title:  Vice President

                                      FIRST UNION NATIONAL BANK

                                      By  /s/ Keith S. Law
                                          ----------------------------------
                                          Name:  Keith S. Law
                                          Title: Vice President

                                      FLOATING RATE PORTFOLIO
                                      By: INVESCO Senior Secured Management,
                                          Inc., as attorney in fact

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

                                      KZH HIGHLAND-2 LLC

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

                                      MERRILL LYNCH DEBT STRATEGIES
                                       PORTFOLIO, INC.
                                       BY: MERRILL LYNCH ASSET
                                       MANAGEMENT L.P., as Investment Advisor

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

                                       8
<PAGE>   10
                                   MERRILL LYNCH GLOBAL INVESTMENT
                                     SERIES: INCOME STRATEGIES PORTFOLIO
                                     BY:  MERRILL LYNCH ASSET MANAGEMENT,
                                          L.P., as Investment Advisor

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

                                   MERRILL LYNCH SENIOR FLOATING
                                     RATE FUND, INC.

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

                                   MERRILL LYNCH PRIME RATE PORTFOLIO
                                     BY:  MERRILL LYNCH ASSET
                                     MANAGEMENT, L.P., as Investment Advisor

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

                                   ML CBO IV (CAYMAN) LTD.
                                   BY: HIGHLAND CAPITAL MANAGEMENT L.P.,
                                       as Collateral Manager

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

                                   ML CLO XX PILGRIM AMERICA
                                     (CAYMAN) LTD.
                                     BY: PILGRIM INVESTMENTS, INC.,
                                         as Investment Manager

                                   By    /s/ Charles E. LeMieux, CFA
                                         --------------------------------
                                         Name:  Charles E. LeMieux, CFA
                                         Title: Vice President

                                        9
<PAGE>   11

                                      MORGAN GUARANTY TRUST COMPANY
                                       OF NEW YORK

                                      By  /s/ Anna Marie Fallon
                                        ----------------------------------------
                                        Name:  Anna Marie Fallon
                                        Title: Vice President

                                      PAM CAPITAL FUNDING, LP
                                      BY: HIGHLAND CAPITAL MANAGEMENT, L.P.,
                                           as Collateral Manager

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

                                      PAMCO CAYMAN, LTD.
                                      BY: HIGHLAND CAPITAL MANAGEMENT, L.P.,
                                           as Collateral Manager

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

                                      PILGRIM PRIME RATE TRUST
                                      BY: PILGRIM INVESTMENTS, INC.,
                                           as Investment Manager

                                      By /s/ Charles E. LeMieux, CFA
                                        ----------------------------------------
                                        Name: Charles E. LeMieux, CFA
                                        Title: Vice President

                                      SCOTIABANC INC.

                                      By /s/ Dana Maloney
                                        ----------------------------------------
                                        Name: Dana Maloney
                                        Title: Relationship Manager

                                       10
<PAGE>   12

                                        SRV-HIGHLAND, INC.

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

                                        STEIN ROE & FARNHAM INCORPORATED,
                                          as Agent for KEYPORT LIFE INSURANCE
                                              COMPANY

                                        By /s/ Brian W. Good
                                           -------------------------------------
                                           Name:  Brian W. Good
                                           Title: Sr. Vice President & Portfolio
                                                    Manager

                                        TORONTO DOMINION (TEXAS), INC.

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

                                        TRANSAMERICA LIFE INSURANCE AND
                                          ANNUITY CO.

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

                                        TRANSAMERICA PREMIER HIGH YIELD FUND

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

                                        VAN KAMPEN PRIME RATE INCOME TRUST

                                        By /s/ Darvin D. Pierce
                                           -------------------------------------
                                           Name: Darvin D. Pierce
                                           Title: Vice President

                                       11
<PAGE>   13
                                       VAN KAMPEN SENIOR INCOME TRUST
                                       By: Van Kampen Investment Advisory Corp.

                                       By /s/ Darvin D. Pierce
                                          --------------------------------------
                                          Name:  DARVIN D. PIERCE
                                          Title: VICE PRESIDENT

                                       VAN KAMPEN CLO II, LIMITED
                                       BY: VAN KAMPEN MANAGEMENT, INC.,
                                           as Collateral Manager

                                       By /s/ Darvin D. Pierce
                                          --------------------------------------
                                          Name:  DARVIN D. PIERCE
                                          Title: VICE PRESIDENT

                                       WACHOVIA BANK, N.A.

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

                                       12
<PAGE>   14

                CONSENT TO AMENDMENT NO. 19 TO THE LOAN DOCUMENTS

                              As of August 28, 2000

                   Reference is made to Amendment No. 19 to the Loan Documents
dated as of August 28, 2000 (the "AMENDMENT") to the Amended and Restated Credit
Agreement dated as of June 9, 1998 (as amended and otherwise modified by
Amendment No. 1 to the Loan Documents dated as of December 4, 1998, Amendment
No. 2 to the Loan Documents dated as of January 13, 1999, Amendment No. 3 to the
Loan Documents dated as of February 9, 1999, Amendment and Waiver No. 4 to the
Loan Documents dated as of March 18, 1999, Amendment and Waiver No. 5 to the
Loan Documents dated as of April 1, 1999, Amendment No. 6 to the Loan Documents
dated as of April 14, 1999, Amendment No. 7 to the Loan Documents dated as of
June 29, 1999, Amendment No. 8 to the Loan Documents dated as of August 2, 1999,
Amendment No. 9 to the Loan Documents dated as of August 16, 1999, Amendment No.
10 to the Loan Documents dated as of August 23, 1999, Amendment No. 11 to the
Loan Documents dated as of August 30, 1999, Amendment No. 12 to the Loan
Documents dated as of September 14, 1999, Amendment No. 13 to the Loan Documents
dated as of November 5, 1999, Amendment No. 14 to the Loan Documents dated as of
December 16, 1999, Amendment No. 15 to the Loan Documents dated as of January
20, 2000, Amendment No. 16 to the Loan Documents dated as of February 3, 2000,
Amendment No. 17 to the Loan Documents dated as of April 10, 2000, and Amendment
No. 18 to the Loan Documents dated as of May 2, 2000, the "CREDIT AGREEMENT")
among Caremark Rx, Inc. (formerly known as MedPartners, Inc.), a Delaware
corporation, the Lenders party thereto, Bank of America, N.A. (formerly
NationsBank, N.A.), as the Initial Issuing Bank and Swing Line Bank thereunder,
Credit Lyonnais New York Branch, The First National Bank of Chicago and Morgan
Guaranty Trust Company of New York, as the Syndication Agents therefor, Banc of
America Securities LLC (formerly NationsBanc Montgomery Securities LLC), as
Arranger therefor, and Bank of America, N.A. (formerly NationsBank, N.A.), as
the Administrative Agent for the Lender Parties thereunder. Capitalized terms
not otherwise defined herein shall have the same meanings as specified therefor
in the Credit Agreement.

                   Each of the undersigned, as a guarantor under the
Subsidiaries Guarantee dated as of June 9, 1998 (as modified to the date hereof,
the "SUBSIDIARIES GUARANTEE") in favor of the Guaranteed Parties, hereby
consents to the execution and delivery of the Amendment and the performance of
the Credit Agreement, as amended thereby, and hereby confirms and agrees that,
notwithstanding the effectiveness of the Amendment, the Subsidiaries Guarantee
is, and shall continue to be, in full force and effect and is hereby in all
respects ratified and confirmed, except that each reference in the Subsidiaries
Guarantee to "the Credit Agreement," "thereunder," "thereof" or words of like
import referring to the Credit Agreement shall mean and be a reference to the
Credit Agreement, as amended by the Amendment.

                   This Consent may be executed in any number of counterparts
and by different parties hereto in separate counterparts, each of which when so
executed shall be deemed to be an original and all of which taken together shall
constitute one and the same Consent. Delivery of

                                       13
<PAGE>   15

an executed counterpart of a signature page to this Consent by telecopier shall
be effective as delivery of a manually executed counterpart of this Consent.

                   This Consent shall be governed by, and construed in
accordance with, the laws of the State of New York.

           [The remainder of this page is intentionally left blank.]

                                       14

<PAGE>   16

                                            MEDPARTNERS ACQUISITION CORPORATION

                                            By /s/ James H. Dickerson, Jr.
                                               --------------------------------
                                               Name: James H. Dickerson, Jr.
                                               Title: President & Treasurer

                                            MEDPARTNERS AVIATION, INC.

                                            By /s/ Sara J. Finley
                                               --------------------------------
                                               Name: Sara J. Finley
                                               Title: Vice President & Secretary

                                            MEDPARTNERS EAST, INC.

                                            By /s/ James H. Dickerson, Jr.
                                               --------------------------------
                                               Name: James H. Dickerson, Jr.
                                               Title: President & Treasurer

                                            MEDPARTNERS INTEGRATED NETWORK-
                                            CHANDLER, INC.

                                            By /s/ James H. Dickerson, Jr.
                                               --------------------------------
                                               Name: James H. Dickerson, Jr.
                                               Title: Vice President & Treasurer

                                            MEDPARTNERS PROFESSIONAL
                                            MANAGEMENT CORPORATION

                                            By /s/ James H. Dickerson, Jr.
                                               --------------------------------
                                               Name: James H. Dickerson, Jr.
                                               Title: President & Treasurer

                                            HEALTHWAYS, INC.

                                            By /s/ James H. Dickerson, Jr.
                                               --------------------------------
                                               Name: James H. Dickerson, Jr.
                                               Title: President & Treasurer

                                       15
<PAGE>   17
                                            BAY AREA PRACTICE MANAGEMENT
                                            GROUP, INC.

                                            By /s/ SARA J. FINLEY
                                               ---------------------------------
                                               Name: Sara J. Finley
                                               Title: Vice President & Secretary

                                            By /s/ JAMES H. DICKERSON, JR.
                                               ---------------------------------
                                               Name: James H. Dickerson, Jr.
                                               Title: Vice President & Treasurer

                                            CHS MANAGEMENT, INC.

                                            By /s/ JAMES H. DICKERSON, JR.
                                               ---------------------------------
                                               Name: James H. Dickerson, Jr.
                                               Title: President & Treasurer

                                            CAREMARK INTERNATIONAL INC.

                                            By /s/ JAMES H. DICKERSON, JR.
                                               ---------------------------------
                                               Name: James H. Dickerson, Jr.
                                               Title: President & Treasurer

                                            CAREMARK INC.

                                            By /s/ SARA J. FINLEY
                                               ---------------------------------
                                               Name: Sara J. Finley
                                               Title: Vice President & Secretary

                                            By
                                               ---------------------------------
                                               Name: Leisa Kizer
                                               Title: Treasurer

                                       16

<PAGE>   18

                             PRESCRIPTION HEALTH SERVICES, INC.

                             By /s/ James H. Dickerson, Jr.
                                -----------------------------------------
                                Name: James H. Dickerson, Jr.
                                Title: Vice President & Treasurer

                             By /s/ Sara J. Finley
                                -----------------------------------------
                                Name: Sara J. Finley
                                Title: Vice President & Secretary

                             CAREMARK INTERNATIONAL HOLDINGS INC.

                             By /s/ James H. Dickerson, Jr.
                                -----------------------------------------
                                Name: James H. Dickerson, Jr.
                                Title: Vice President & Treasurer

                             MEDPARTNERS PHYSICIAN SERVICES INC.

                             By /s/ James H. Dickerson, Jr.
                                -----------------------------------------
                                Name: James H. Dickerson, Jr.
                                Title: Vice President & Treasurer

                             FRIENDLY HILLS HEALTHCARE NETWORK INC.

                             By /s/ Sara J. Finley
                                -----------------------------------------
                                Name: Sara J. Finley
                                Title: Vice President & Secretary

                             MEDPARTNERS NSC LTD.

                             By /s/ James H. Dickerson, Jr.
                                -----------------------------------------
                                Name: James H. Dickerson, Jr.
                                Title: Vice President & Treasurer

                                       17

<PAGE>   19

                                      MEDPARTNERS ADMINISTRATIVE
                                      SERVICES, INC.

                                      By /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name: James H. Dickerson, Jr.
                                        Title: Vice President & Treasurer

                                      MEDPARTNERS MANAGED CARE, INC.

                                      By /s/ Sara J. Finley
                                        ----------------------------------------
                                        Name: Sara J. Finley
                                        Title: Vice President & Secretary

                                      ACUTE CARE MEDICAL MANAGEMENT, INC.

                                      By /s/ Sara J. Finley
                                        ----------------------------------------
                                        Name: Sara J. Finley
                                        Title: Vice President & Secretary

                                      BGS HEALTHCARE, INC.

                                      By /s/ Sara J. Finley
                                        ----------------------------------------
                                        Name: Sara J. Finley
                                        Title: Vice President & Secretary

                                      HOME HEALTH AGENCY OF GREATER
                                      MIAMI, INC.

                                      By /s/ Sara J. Finley
                                        ----------------------------------------
                                        Name: Sara J. Finley
                                        Title: Vice President & Secretary

                                      PACIFIC MEDICAL GROUP, INC.

                                      By /s/ Sara J. Finley
                                        ----------------------------------------
                                        Name: Sara J. Finley
                                        Title: Vice President & Secretary

                                      18

<PAGE>   20

                                   PACIFIC PHYSICIAN SERVICES, INC.

                                   By  /s/ JAMES H. DICKERSON, JR.
                                       ---------------------------------
                                       Name:  James H. Dickerson, Jr.
                                       Title: President & Treasurer

                                   PPS EAST, INC.

                                   By  /s/ JAMES H. DICKERSON, JR.
                                       ---------------------------------
                                       Name:  James H. Dickerson, Jr.
                                       Title: President & Treasurer

                                   PPS NORTH CAROLINA MEDICAL
                                   MANAGEMENT, INC.

                                   By  /s/ JAMES H. DICKERSON, JR.
                                       ---------------------------------
                                       Name:  James H. Dickerson, Jr.
                                       Title: President & Treasurer

                                   PPS RIVERSIDE DIVISION ACQUISITION
                                   AND MANAGEMENT CORP. I

                                   By  /s/ JAMES H. DICKERSON, JR.
                                       ---------------------------------
                                       Name:  James H. Dickerson, Jr.
                                       Title: President & Treasurer

                                   PPS VALLEY MANAGEMENT, INC.

                                   By  /s/ JAMES H. DICKERSON, JR.
                                       ---------------------------------
                                       Name:  James H. Dickerson, Jr.
                                       Title: President & Treasurer

                                   By  /s/ SARA J. FINLEY
                                       ---------------------------------
                                       Name:  Sara J. Finley
                                       Title: Vice President & Secretary

                                       19
<PAGE>   21

                                       PACIFIC PHYSICIAN SERVICES
                                       ARIZONA, INC.

                                       By /s/ James H. Dickerson, Jr.
                                          --------------------------------------
                                          Name:  James H. Dickerson, Jr.
                                          Title: President and Treasurer

                                       PACIFIC PHYSICIAN SERVICES
                                       NEVADA, INC.

                                       By /s/ James H. Dickerson, Jr.
                                          --------------------------------------
                                          Name:  James H. Dickerson, Jr.
                                          Title: President & Treasurer

                                       PHYSICIANS' HOSPITAL MANAGEMENT
                                       CORPORATION

                                       By /s/ James H. Dickerson, Jr.
                                          --------------------------------------
                                          Name:  James H. Dickerson, Jr.
                                          Title: Vice President & Treasurer

                                       RELIANT HEALTHCARE SYSTEMS, INC.

                                       By /s/ James H. Dickerson, Jr.
                                          --------------------------------------
                                          Name:  James H. Dickerson, Jr.
                                          Title: President & Treasurer

                                       By /s/ Sara J. Finley
                                          --------------------------------------
                                          Name:  Sara J. Finley
                                          Title: Vice President & Secretary

                                       MEDPARTNERS/TALBERT MEDICAL
                                       MANAGEMENT CORPORATION

                                       By /s/ James H. Dickerson, Jr.
                                          --------------------------------------
                                          Name:  James H. Dickerson, Jr.
                                          Title: Vice President & Treasurer

                                       20
<PAGE>   22

                                      TALBERT MEDICAL MANAGEMENT
                                      CORPORATION

                                      BY /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name: James H. Dickerson, Jr.
                                        Title: Vice President & Treasurer

                                      TALBERT HEALTH SERVICES
                                      CORPORATION

                                      BY /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name: James H. Dickerson, Jr.
                                        Title: Vice President & Treasurer

                                      MEDPARTNERS ADMINISTRATION, L.P.

                                      BY /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name: James H. Dickerson, Jr.
                                        Title: Executive Vice President &
                                        Treasurer of Caremark Rx, Inc.,
                                        the General Partner

                                      21
<PAGE>   23

                                      MEDPARTNERS PHYSICIAN
                                      MANAGEMENT, L.P.

                                      BY /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name: James H. Dickerson, Jr.
                                        Title: Executive Vice President of
                                        Caremark Rx, Inc., the General
                                        Partner

                                      MED TENNESSEE, INC.

                                      BY /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name: James H. Dickerson, Jr.
                                        Title: President & Treasurer

                                      MEDPARTNERS PHYSICIAN SERVICES OF
                                      ILLINOIS L.L.C.

                                      BY /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name: James H. Dickerson, Jr.
                                        Title: Vice President & Treasurer of
                                        North Suburban Clinic, Ltd.,
                                        a Member

                                      CERRITOS INVESTMENT GROUP

                                      BY /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name:  James H. Dickerson, Jr.
                                        Title: Executive Vice President & Chief
                                               Financial Officer of Caremark Rx,
                                               Inc., a Partner

                                      BY /s/ Sara J. Finley
                                        ----------------------------------------
                                        Name: Sara J. Finley
                                        Title: Corporate Secretary of
                                               Caremark Rx, Inc., a Partner

                                      22
<PAGE>   24
                                     CERRITOS INVESTMENT GROUP II

                                     By /s/ JAMES H. DICKERSON, JR.
                                        ----------------------------------------
                                        Name:  James H. Dickerson, Jr.
                                        Title: Executive Vice President & Chief
                                               Financial Officer of Caremark Rx,
                                               Inc., a Partner

                                     By /s/ SARA J. FINLEY
                                        ----------------------------------------
                                        Name:  Sara J. Finley
                                        Title: Corporate Secretary of
                                               Caremark Rx, Inc., a Partner

                                     5000 AIRPORT PLAZA, L.P.

                                     By /s/ JAMES H. DICKERSON, JR.
                                        ----------------------------------------
                                        Name:  James H. Dickerson, Jr.
                                        Title: Executive Vice President & Chief
                                               Financial Officer of Caremark Rx,
                                               Inc. the General Partner

                                     By /s/ SARA J. FINLEY
                                        ----------------------------------------
                                        Name:  Sara J. Finley
                                        Title: Corporate Secretary of
                                               Caremark Rx, Inc.,
                                               the General Partner

                                       23
<PAGE>   25

                                     ANNEX A
                                       TO
                     AMENDMENT NO. 19 TO THE LOAN DOCUMENTS

                                             EXHIBIT F-7 TO THE AMENDED AND
                                             RESTATED CREDIT AGREEMENT

                              ___________ __, 2000

 To the Lender Parties that are parties to the Credit
    Agreement referred to below, to
    Bank of America, N.A. (formerly NationsBank, N.A.),
    as the Initial Issuing Bank and Swing Line Bank
    thereunder, to Credit Lyonnais,
    New York Branch, The First National Bank
    of Chicago, and Morgan Guaranty Trust Company
    of New York, as Syndication Agents therefor,
    to Banc of America Securities LLC (formerly
    Nationsbanc Montgomery Securities LLC),
    as the Arranger therefor, and to
    Bank of America, N.A. (formerly NationsBank, N.A.),
    as Administrative Agent for the Lender Parties thereunder

                                CAREMARK RX, INC.

         This opinion is furnished to you pursuant to the Credit Agreement,
dated as of June 9, 1998, among Caremark Rx, Inc. (formerly MedPartners, Inc.),
a Delaware corporation (the "BORROWER"), and each of you, as amended through
Amendment No. 19 to Loan Documents dated as of August 28, 2000 (as so amended,
the "CREDIT AGREEMENT"). Capitalized terms not otherwise defined herein shall
have the same meanings as specified therefor in the Credit Agreement.

         We have acted as special counsel to the Borrower and its Subsidiaries
in connection with the preparation, execution and delivery of the Credit
Agreement.

         In rendering this opinion, we have examined executed (in original,
facsimile or photocopy form) counterparts of the Credit Agreement Amendment, the
Consent to Amendment No. 19 to the Loan Documents dated as of August 28, 2000
(the "CONSENT") executed by each of the Subsidiaries of the Borrower party to
the Subsidiary Guarantee (each a "SUBSIDIARY GUARANTOR") and each of the other
Loan Documents. We have also examined the originals, or copies certified to our
satisfaction, of the documents listed in a certificate of a Responsible Officer
of the Borrower, dated the date hereof (the "OPINION CERTIFICATE"), certifying
that the documents listed in Part A of such Opinion Certificate are the
settlement agreement and transition plan, and all of the material agreements,
instruments and other

<PAGE>   26

To Certain Lenders, Banks and Agents
___________  __, 2000
Page 2

documents related thereto, comprising the California Transition Plan (the
"CALIFORNIA TRANSITION PLAN DOCUMENTS") and the documents listed in Part B of
such Opinion Certificate are all of the material loan agreements, indentures,
mortgages, deeds of trust, leases, instruments, contracts and other agreements
and all of the orders, writs, judgments, injunctions, decrees, determinations or
awards, that affect or purport to affect the obligations of the Borrower or any
of its Subsidiaries under any of the Loan Documents, or the right of the
Borrower or any of its Subsidiaries to borrow money, to guarantee the
obligations of other Persons, to create liens on or security interests in their
respective properties or assets, or to consummate the Transactions (as
hereinafter defined), including the following documents submitted to us by the
Borrower (the "OTHER FINANCING DOCUMENTS"):

                  (1)      Indenture dated as of October 8, 1996, between the
                           Borrower, as Issuer, and The First National Bank of
                           Chicago, as Trustee, in respect of the Borrower's
                           $450,000,000 7 3/8% Senior Notes Due 2006 (the
                           "SENIOR NOTES INDENTURE");

                  (2)      Indenture dated as of September 15, 1997, between the
                           Borrower, as Issuer, and PNC Bank, Kentucky, Inc., as
                           Trustee, in respect of the Borrower's $420,000,000 6
                           7/8% Senior Subordinated Notes Due 2000 (the
                           "SUBORDINATED NOTES INDENTURE" and, together with the
                           Senior Notes Indenture, the "INDENTURES")*;

                  (3)      Purchase Contract Agreement dated as of September 15,
                           1997, between the Borrower and The First National
                           Bank of Chicago, as Purchase Contract Agent (the
                           "TAPS PURCHASE AGREEMENT")*; and

                  (4)      Pledge Agreement dated as of September 15, 1997,
                           among the Borrower, PNC Bank, Kentucky, Inc., and The
                           First National Bank of Chicago*.

In our examination of all documents referred to herein, we have assumed (i) the
authenticity of all such documents submitted to us as originals, (ii) the
conformity to originals of all such documents submitted to us as copies, (iii)
the due execution and delivery, pursuant to due authorization, of each such
document by each party thereto (other than the Borrower in the case of the
California Transition Plan Documents to which it is a party) and (iv) the
genuineness of all signatures.

         In addition, we have examined the originals, or copies certified to our
satisfaction, of such other corporate records of the Borrower, certificates of
public officials and agreements, instruments and other documents as we have
deemed necessary as a basis for the opinions expressed below. As to questions of
fact material to our opinions, we have, when relevant facts were not
independently established by us, relied upon certificates of the Borrower or its
officers or public officials.

         Whenever any opinion or confirmation of fact set forth herein is
qualified by the words "to our knowledge", "known to us" or words of similar
import, the quoted words mean the current awareness of lawyers in the primary
lawyer group of factual matters such lawyers recognized as being relevant to the

-----------------
*        To be deleted if as of the date of this opinion this instrument is no
         longer in effect.

<PAGE>   27

To Certain Lenders, Banks and Agents
___________  __, 2000
Page 3

opinion or confirmation so qualified. "Primary lawyer group" means the lawyer
who signs this opinion letter and, solely as to information relative to any
opinion or confirmation issue, any lawyer in this firm who is responsible for
providing the response covering the particular issue. In addition, with respect
to the opinion or confirmation set forth in paragraph 5 below with respect to
certain actions, suits, investigations, litigations, arbitrations, or
proceedings pending or threatened against or affecting the Borrower or any of
its property or assets in any court or before any arbitrator, we note to you
that we have not conducted a search of any records or docket of any court or
other tribunal or forum.

         The opinions expressed herein are limited to matters governed by the
federal laws of the United States of America (other than, with respect to the
matters set forth in paragraphs 3 and 4 below, federal bankruptcy laws), the
laws of the State of New York and the General Corporation Law of the State of
Delaware, and we express no opinion herein as to the laws of any other
jurisdiction or the effect that any such other laws may have on the matters set
forth herein. Without limiting the foregoing, we express no opinion as to the
effect of any laws, including any restrictions imposed by governmental licenses,
rules, regulations, orders, approvals or similar matters, governing or
applicable to the Borrower or any of the Subsidiary Guarantors, by reason of the
nature of the business conducted by it in any jurisdiction.

         Based upon the foregoing and subject to the limitations and
qualifications hereinafter set forth, we are of the following opinion:

                  1.       The Borrower (a) is a corporation, duly incorporated,
         validly existing and in good standing under the laws of the State of
         Delaware, (b) is duly qualified and in good standing as a foreign
         corporation in the State of Alabama, and (c) has all requisite
         corporate power and authority to own or lease and operate its
         properties and to carry on its business as now conducted and as
         proposed to be conducted.

                  2.       The execution, delivery and performance by the
         Borrower of the California Transition Plan Documents to which it is a
         party are within the corporate powers of the Borrower, have been duly
         authorized by all necessary corporate action, and do not contravene the
         Constitutive Documents of the Borrower. The California Transition Plan
         Documents to which the Borrower is a party have been duly executed and
         delivered.

                  3.       The execution, delivery and performance by the
         Borrower of the California Transition Plan Documents to which it is a
         party do not:

                           (a)      violate any law, rule (including, without
                  limitation, Regulation X of the Board of Governors of the
                  Federal Reserve System), or regulation;

                           (b)      violate any order, writ, judgment,
                  injunction, decree, determination or award set forth in the
                  Opinion Certificate; or

                           (c)      conflict with or result in the breach of, or
                  constitute a default under, or result in or require the
                  creation or imposition of any Lien upon or with respect to any
                  of the property or assets of the Borrower or any of its
                  Subsidiaries under, any of the agreements, instruments or
                  other documents set forth in Part B of the Opinion
                  Certificate.

<PAGE>   28

To Certain Lenders, Banks and Agents
___________  __, 2000
Page 4

         The execution, delivery and performance by the Borrower of the
         California Transition Plan Documents to which it is a party, and the
         effectiveness of the California Settlement Agreement and the
         Supplemental Plan Agreement do not conflict with or result in the
         breach of, or constitute a default under, or result in or require the
         creation or imposition of any Lien upon or with respect to any of the
         property or assets of the Borrower or any of its Subsidiaries under,
         any of the Loan Documents.

                  4.       No authorization or approval or other action by, and
         no notice to or filing with, any Governmental Authority or any other
         third party that is a party to any of the agreements, instruments,
         other documents, orders, decrees, determinations or awards set forth in
         the Opinion Certificate is required (under the laws of the State of New
         York, the General Corporation Law of the State of Delaware or the
         federal laws of the United States) for the due execution or delivery by
         the Borrower of the California Transition Plan Documents to which it is
         a party, except for authorizations, approvals, actions, notices and
         filings which have been duly obtained, taken, given or made and are in
         full force and effect.

                  5.       To the best of our knowledge, after due inquiry,
         there is no action, suit, investigation, litigation, arbitration, or
         proceeding pending or threatened against or affecting the Borrower or
         any of its Subsidiaries or any of the property or assets thereof in any
         court or before any arbitrator or by or before any Governmental
         Authority of any kind that purports to affect (x) the legality,
         validity, binding effect or enforceability of the California Transition
         Plan Documents, or (y) the effectiveness of the California Settlement
         Agreement and the Supplemental Plan Agreement, except in the case of
         clauses (x) and (y) above, those proceedings pending in the federal
         bankruptcy court for the approval of the California Transition Plan.

         The opinions set forth above are subject to the following
         qualifications:

                  (a)      Our opinion set forth in paragraph 3 above as it
         relates to the Indentures is rendered on the basis of our view that the
         defined term "Indebtedness" in the Indentures should not be construed
         to include the obligations of the Borrower or MPN under the California
         Transition Plan Documents. Although we believe that our view represents
         the better interpretation, we note that the proper interpretation is a
         matter that is not free from doubt.

                  (b)      In connection with our opinion set forth in paragraph
         3 above as it relates to the Credit Agreement, we express no opinion as
         to (i) whether the agreement of the Borrower to deposit funds into the
         California Deposit Account (as such term is defined in the California
         Settlement Agreement) pursuant to Section 3.5(c) of the California
         Settlement Agreement and to apply such funds as provided in the
         California Settlement Agreement, or the performance by the Borrower of
         such agreement, constitutes a "preference or encumbrance of any kind
         (including, without limitation, any agreement to give any of the
         foregoing)" or "deposit arrangement...intended as, or having the effect
         of, security" as such terms are used in the definition of "Lien"
         appearing in Section 1.01 of the Credit Agreement, and (ii) if so,
         whether such agreement or performance thereof violates Section 5.02(a)
         of the Credit Agreement.

<PAGE>   29

To Certain Lenders, Banks and Agents
___________  __, 2000
Page 5

                  (c)      We note that in an action styled [description of
         Alabama TAPS litigation to be inserted], the plaintiffs named therein
         have asserted that one or more of the actions or events contemplated by
         or provided in the California Transition Plan Documents constitute a
         "Termination Event" within the meaning of the TAPS Purchase Agreement.
         We further note that we do not represent the Borrower in such action
         and, with respect to our opinion set forth in paragraph 3 above as it
         may relate to the TAPS Purchase Agreement, we express no opinion as to
         whether the execution, delivery or performance by the Borrower of the
         California Transition Plan Documents constitutes a "Termination Event"
         within the meaning of the TAPS Purchase Agreement.

                  (d)      For purposes of rendering the opinions set forth
         above, we have relied, with your permission and without independent
         verification, upon the opinion(s) attached hereto of [___________]*,
         special California counsel to the Borrower and its Subsidiaries,
         addressed to the Agents and the Lender Parties, as to the matters set
         forth therein.

         This opinion may not be used or relied upon for any purpose other than
in connection with the transactions contemplated by the Credit Agreement and the
other Loan Documents, or by any person or entity other than the addressees
hereof, without our prior written consent, provided that (i) any of your
permitted successors, assigns or transferees may rely on this opinion in
connection with the transactions contemplated by the Loan Documents as if this
opinion letter were also addressed to them and (ii) you may furnish copies of
this opinion to your independent auditors, legal counsel and appropriate
regulatory authorities and pursuant to an order or legal process of any relevant
government authority.

                                                              Very truly yours,

------------------
*        Special California counsel to the Borrower and its Subsidiaries to
         provide such opinion(s) shall be one or more of the following: Jones,
         Day Reavis & Pogue, Milbank, Tweed, Hadley & McCloy, Foley & Lardner,
         in-house counsel to MPN (solely as to matters of California corporate
         law relating to MPN) or other counsel reasonably acceptable to the
         Administrative Agent, and the form and substance of such opinion shall
         not be objected to by the Required Lenders.<PAGE>   1
                                                                    EXHIBIT 10.2

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

                                AMENDMENT NO. 20

                                       TO

                    THE AMENDED AND RESTATED CREDIT AGREEMENT

                             DATED AS OF JUNE 9, 1998

                                      AMONG

                                CAREMARK RX, INC.
                      (FORMERLY KNOWN AS MEDPARTNERS, INC.)

                                       AND

                             THE BANKS PARTY HERETO

                                CLOSING DOCUMENTS

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

<PAGE>   2

                     AMENDMENT NO. 20 TO THE LOAN DOCUMENTS

         AMENDMENT NO. 20 TO THE LOAN DOCUMENTS dated as of August 31, 2000 to
the Amended and Restated Credit Agreement dated as of June 9, 1998 (as amended
and otherwise modified by Amendment and Waiver No. 1 to the Loan Documents dated
as of December 4, 1998, Amendment No. 2 to the Loan Documents dated as of
January 13, 1999, Amendment No. 3 to the Loan Documents dated as of February 9,
1999, Amendment and Waiver No. 4 to the Loan Documents dated as of March 18,
1999, Amendment and Waiver No. 5 to the Loan Documents dated as of April 1,
1999, Amendment No. 6 to the Loan Documents dated as of April 14, 1999,
Amendment No. 7 to the Loan Documents dated as of June 29, 1999, Amendment No. 8
to the Loan Documents dated as of August 2, 1999, Amendment No. 9 to the Loan
Documents dated as of August 16, 1999, Amendment No. 10 to the Loan Documents
dated as of August 23, 1999, Amendment No. 11 to the Loan Documents dated as of
August 30, 1999, Amendment No. 12 to the Loan Documents dated as of September
14, 1999, Amendment No. 13 to the Loan Documents dated as of November 5, 1999,
Amendment No. 14 to the Loan Documents dated as of December 16, 1999, Amendment
No. 15 to the Loan Documents dated as of January 20, 2000, Amendment No. 16 to
the Loan Documents dated as of February 3, 2000, Amendment No. 17 to the Loan
Documents dated as of April 10, 2000, Amendment No. 18 to the Loan Documents
dated as of May 2, 2000, and Amendment No. 19 to the Loan Documents dated as of
August 28, 2000, the "CREDIT AGREEMENT") among Caremark Rx, Inc. (formerly known
as MedPartners, Inc.), a Delaware corporation (the "BORROWER"), the Lenders
party thereto, Bank of America, N.A. (formerly NationsBank, N.A.; "BOFA"), as
the Initial Issuing Bank and the Swing Line Bank thereunder, Credit Lyonnais New
York Branch, The First National Bank of Chicago and Morgan Guaranty Trust
Company of New York, as the Syndication Agents therefor, Banc of America
Securities LLC (formerly NationsBanc Montgomery Securities LLC), as the Arranger
therefor, and BofA, as the Administrative Agent for the Lender Parties
thereunder. Capitalized terms not otherwise defined in this Amendment have the
same meanings as specified therefor in the Credit Agreement.

                             PRELIMINARY STATEMENTS

         (1)      The Borrower has requested that the Lender Parties agree to
amend the Credit Agreement as provided herein in connection with the extension
of the maturity date of the Senior Subordinated Notes.

         (2)      The Lender Parties have indicated their willingness to agree
to amend the Credit Agreement.

         NOW, THEREFORE, in consideration of the premises and of the mutual
covenants and agreements contained herein and in the Loan Documents, the parties
hereto hereby agree as follows:

         SECTION 1. Amendments of Certain Provisions of the Credit Agreement.
The Credit Agreement is, upon the occurrence of the Amendment Effective Date (as
hereinafter defined), hereby amended as follows:

         (a)      Section 1.01 of the Credit Agreement is hereby amended to
amend the definition of "Eligible Subordinated Indebtedness" by adding the
phrase "or for which an aggregate amount of cash or Cash Equivalents equal to
the amount of all principal of and interest on such Indebtedness is held

<PAGE>   3

pursuant to an order of a court of competent jurisdiction in connection with
litigation relating to the TAPS" at the end thereof.

         (b)      Section 1.01 of the Credit Agreement is hereby further amended
to restate the definition of "TAPS Indenture" set forth therein in its entirety
as follows:

         "'TAPS INDENTURE' means the Indenture dated as of September 15, 1997
     between the Borrower and PNC Bank, Kentucky, Inc., as trustee, pursuant to
     which the 6-7/8% senior subordinated notes of the Borrower due 2000 in an
     aggregate principal amount of $420,000,000 were issued, as the same may be
     supplemented by the Supplemental Indenture by and between the Borrower and
     Wells Fargo Bank, N.A., dated as of August 31, 2000, and as such agreement
     may be amended, supplemented or otherwise modified hereafter from time to
     time in accordance with the terms thereof, but solely to the extent
     permitted under the terms of the Loan Documents."

         SECTION 2. Conditions Precedent to the Effectiveness of this
Amendment. This Amendment shall become effective as of the date hereof if on or
before August 31, 2000, each of the following conditions have been satisfied
(such date when the conditions are satisfied being the "AMENDMENT EFFECTIVE
DATE"):

         (a)      The Administrative Agent shall have received on or before 5:00
p.m. (Charlotte time) on August 31, 2000, (i) counterparts of this Amendment
executed by the Borrower and the Required Lenders or, as to any of the Lender
Parties, advice satisfactory to the Administrative Agent that such Lender Party
has executed this Amendment and (ii) counterparts of the Consent attached hereto
executed and delivered by each of the Loan Parties (other than the Borrower).

         (b)      The representations and warranties set forth in each of the
Loan Documents shall be correct in all material respects on and as of the
Amendment Effective Date, before and after giving effect to this Amendment, as
though made on and as of such date (except (i) for any such representation and
warranty that, by its terms, refers to a specific date other than the Amendment
Effective Date, in which case as of such specific date, (ii) that the
Consolidated financial statements of the Borrower and its Subsidiaries referred
to in Sections 4.01(f) and 4.01(g) of the Credit Agreement shall be deemed to
refer to the Consolidated financial statements of the Borrower and its
Subsidiaries comprising part of the Required Financial Information most recently
delivered to the Administrative Agent and the Lender Parties pursuant to
Sections 5.03(b) and 5.03(c), respectively, on or prior to the Amendment
Effective Date, and (iii) that the forecasted Consolidated financial statements
of the Borrower and its Subsidiaries referred to in Section 4.01(h) of the
Credit Agreement shall be deemed to refer to the forecasted Consolidated
financial statements of the Borrower and its Subsidiaries most recently
delivered to the Administrative Agent and the Lender Parties prior to the
Amendment Effective Date).

         (c)      No event shall have occurred and be continuing, or shall
result from the effectiveness of this Amendment, that constitutes a Default.

         (d)      All of the reasonable fees and expenses of the Administrative
Agent and the Arranger (including the reasonable fees and expenses of counsel
for the Administrative Agent) due and payable on or before the Amendment
Effective Date shall have been paid in full.

                                       2
<PAGE>   4

         The effectiveness of this Amendment is further conditioned upon the
accuracy of all of the factual matters described herein. This Amendment is
subject to the provisions of Section 8.01 of the Credit Agreement.

         SECTION 3. Reference to and Effect on the Loan Documents. (a) On and
after the Amendment Effective Date, each reference in the Credit Agreement to
"this Agreement," "hereunder," "hereof" or words of like import referring to the
Credit Agreement, and each reference in the Notes and each of the other Loan
Documents to "the Credit Agreement," "thereunder," "thereof" or words of like
import referring to the Credit Agreement, shall mean and be a reference to the
Credit Agreement, as amended by this Amendment.

         (b)      The Credit Agreement, the Notes and each of the other Loan
Documents, as amended by the amendments specifically provided above in Section
1, are and shall continue to be in full force and effect and are hereby in all
respects ratified and confirmed. The execution, delivery and effectiveness of
this Amendment shall not, except as expressly provided herein, operate as a
waiver of any right, power or remedy of any of the Guaranteed Parties or the
Administrative Agent under any of the Loan Documents, or constitute a waiver of
any provision of any of the Loan Documents.

         SECTION 4. Costs and Expenses. The Borrower hereby agrees to pay, upon
demand, all of the reasonable costs and expenses of the Administrative Agent and
the Arranger (including, without limitation, the reasonable fees and expenses of
counsel for the Administrative Agent) in connection with the preparation,
execution, delivery, administration, modification and amendment of this
Amendment and all of the agreements, instruments and other documents delivered
or to be delivered in connection herewith, all in accordance with the terms of
Section 8.04 of the Credit Agreement.

         SECTION 5. Execution in Counterparts. This Amendment may be executed in
any number of counterparts and by different parties hereto in separate
counterparts, each of which when so executed shall be deemed to be an original
and all of which taken together shall constitute one and the same agreement.
Delivery of an executed counterpart of a signature page to this Amendment by
telecopier shall be effective as delivery of a manually executed counterpart of
this Amendment.

         SECTION 6. Governing Law. This Amendment shall be governed by, and
construed in accordance with, the laws of the State of New York.

                                       3
<PAGE>   5
         IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be
executed by their respective officers, thereunto duly authorized, as of the date
first written above.

                                          THE BORROWER

                                          CAREMARK RX, INC.
                                          (formerly known as MEDPARTNERS, INC.)

                                          By  /s/    Peter Clemens
                                              ----------------------------------
                                              Name:  Peter Clemens
                                              Title: SVP and Treasurer

                                          THE ADMINISTRATIVE AGENT

                                          BANK OF AMERICA, N.A.

                                          By  /s/ William D. Duke
                                              ----------------------------------
                                              Name:   William D. Duke
                                              Title:  Principal

                                       4
<PAGE>   6
                                    THE LENDER PARTIES

                                    BANK OF AMERICA, N.A., as a Lender,
                                    the Swing Line Bank and the Issuing Bank

                                    By  /s/ William D. Duke
                                        ----------------------------------------
                                        Name:  William D. Duke
                                        Title: Principal

                                    AMSOUTH BANK

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

                                    THE CHASE MANHATTAN BANK

                                    By  /s/ Dawn Lee Lum
                                        ----------------------------------------
                                        Name:  Dawn Lee Lum
                                        Title: Vice President

                                    CITIBANK, N.A.

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

                                    CREDIT LYONNAIS NEW YORK BRANCH

                                    By  /s/ Charles H. Heidsieck
                                        ----------------------------------------
                                        Name:  Charles H. Heidsieck
                                        Title: SVP

                                    DEBT STRATEGIES FUND, INC.

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

                                       5
<PAGE>   7

                              BANK ONE, NA (f/k/a THE FIRST NATIONAL
                              BANK OF CHICAGO)

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

                              FIRST UNION NATIONAL BANK

                              By   /s/ KEITH S. LAW
                                   -------------------------------------------
                                   Name:  Keith S. Law
                                   Title: Vice President

                              FLOATING RATE PORTFOLIO
                              BY:  INVESCO Senior Secured Management, Inc., as
                                   attorney in fact

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

                              KZH HIGHLAND-2 LLC

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

                              MERRILL LYNCH DEBT STRATEGIES
                                PORTFOLIO, INC.
                                BY: MERRILL LYNCH ASSET
                                MANAGEMENT L.P., as Investment Advisor

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

                                       6

<PAGE>   8
                                        MORGAN GUARANTY TRUST COMPANY
                                          OF NEW YORK

                                        By /s/ Anna Marie Fallon
                                           ----------------------------
                                           Name: Anna Marie Fallon
                                           Title: Vice President

                                        PAM CAPITAL FUNDING, LP
                                          BY: HIGHLAND CAPITAL MANAGEMENT, L.P.,
                                                as Collateral Manager

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

                                        PAMCO CAYMAN, LTD.
                                          BY: HIGHLAND CAPITAL MANAGEMENT, L.P.,
                                                as Collateral Manager

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

                                        PILGRIM PRIME RATE TRUST
                                          BY: PILGRIM INVESTMENTS, INC.,
                                                as Investment Manager

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

                                        SCOTIABANC INC.

                                        By /s/ Carolyn A. Calloway
                                           -----------------------------------
                                           Name:  Carolyn A. Calloway
                                           Title: Director

                                       8
<PAGE>   9

                                      SRV-HIGHLAND, INC.

                                      BY
                                        ----------------------------------------
                                        Name:
                                        Title:

                                      STEIN ROE & FARNHAM INCORPORATED,
                                       as Agent for KEYPORT LIFE INSURANCE
                                         COMPANY

                                      BY /s/
                                        ----------------------------------------
                                        Name:
                                        Title:

                                      TORONTO DOMINION (TEXAS), INC.

                                      BY
                                        ----------------------------------------
                                        Name:
                                        Title:

                                      TRANSAMERICA LIFE INSURANCE AND
                                       ANNUITY CO.

                                      BY
                                        ----------------------------------------
                                        Name:
                                        Title:

                                      TRANSAMERICA PREMIER HIGH YIELD FUND

                                      BY
                                        ----------------------------------------
                                        Name:
                                        Title:

                                      VAN KAMPEN PRIME RATE INCOME TRUST
                                      By: Van Kampen Investment Advisory Corp.

                                      BY /s/ Darvin D. Pierce
                                        ----------------------------------------
                                        Name:  Darvin D. Pierce
                                        Title: Vice President

                                       9
<PAGE>   10

                                      VAN KAMPEN SENIOR INCOME TRUST
                                      By: Van Kampen Investment Advisory Corp.

                                      BY /s/ Darvin D. Pierce
                                        ----------------------------------------
                                        Name: DARVIN D. PIERCE
                                        Title: VICE PRESIDENT

                                      VAN KAMPEN CLO II, LIMITED
                                      BY: VAN KAMPEN MANAGEMENT, INC.,
                                          as Collateral Manager

                                      BY /s/ Darvin D. Pierce
                                        ----------------------------------------
                                        Name: DARVIN D. PIERCE
                                        Title: VICE PRESIDENT

                                      WACHOVIA BANK, N.A.

                                      BY
                                        ----------------------------------------
                                        Name:
                                        Title:

                                      10
<PAGE>   11

                CONSENT TO AMENDMENT NO. 20 TO THE LOAN DOCUMENTS

                              As of August 31, 2000

         Reference is made to Amendment No. 20 to the Loan Documents dated as of
August 31, 2000 (the "AMENDMENT") to the Amended and Restated Credit Agreement
dated as of June 9, 1998 (as amended and otherwise modified by Amendment No. 1
to the Loan Documents dated as of December 4, 1998, Amendment No. 2 to the Loan
Documents dated as of January 13, 1999, Amendment No. 3 to the Loan Documents
dated as of February 9, 1999, Amendment and Waiver No. 4 to the Loan Documents
dated as of March 18, 1999, Amendment and Waiver No. 5 to the Loan Documents
dated as of April 1, 1999, Amendment No. 6 to the Loan Documents dated as of
April 14, 1999, Amendment No. 7 to the Loan Documents dated as of June 29, 1999,
Amendment No. 8 to the Loan Documents dated as of August 2, 1999, Amendment No.
9 to the Loan Documents dated as of August 16, 1999, Amendment No. 10 to the
Loan Documents dated as of August 23, 1999, Amendment No. 11 to the Loan
Documents dated as of August 30, 1999, Amendment No. 12 to the Loan Documents
dated as of September 14, 1999, Amendment No. 13 to the Loan Documents dated as
of November 5, 1999, Amendment No. 14 to the Loan Documents dated as of December
16, 1999, Amendment No. 15 to the Loan Documents dated as of January 20, 2000,
Amendment No. 16 to the Loan Documents dated as of February 3, 2000, Amendment
No. 17 to the Loan Documents dated as of April 10, 2000, and Amendment No. 18 to
the Loan Documents dated as of May 2, 2000, and Amendment No. 19 to the Loan
Documents dated as of August 28, 2000, the "CREDIT AGREEMENT") among Caremark
Rx, Inc. (formerly known as MedPartners, Inc.), a Delaware corporation, the
Lenders party thereto, Bank of America, N.A. (formerly NationsBank, N.A.), as
the Initial Issuing Bank and Swing Line Bank thereunder, Credit Lyonnais New
York Branch, The First National Bank of Chicago and Morgan Guaranty Trust
Company of New York, as the Syndication Agents therefor, Banc of America
Securities LLC (formerly NationsBanc Montgomery Securities LLC, as Arranger
therefor, and Bank of America, N.A. (formerly NationsBank, N.A.), as the
Administrative Agent for the Lender Parties thereunder. Capitalized terms not
otherwise defined herein shall have the same meanings as specified therefor in
the Credit Agreement.

         Each of the undersigned, as a guarantor under the Subsidiaries
Guarantee dated as of June 9, 1998 (as modified to the date hereof, the
"SUBSIDIARIES GUARANTEE") in favor of the Guaranteed Parties, hereby consents to
the execution and delivery of the Amendment and the performance of the Credit
Agreement, as amended thereby, and hereby confirms and agrees that,
notwithstanding the effectiveness of the Amendment, the Subsidiaries Guarantee
is, and shall continue to be, in full force and effect and is hereby in all
respects ratified and confirmed, except that each reference in the Subsidiaries
Guarantee to "the Credit Agreement," "thereunder," "thereof" or words of like
import referring to the Credit Agreement shall mean and be a reference to the
Credit Agreement, as amended by the Amendment.

         This Consent may be executed in any number of counterparts and by
different parties hereto in separate counterparts, each of which when so
executed shall be deemed to be an original and all of which taken together shall
constitute one and the same Consent. Delivery of an executed counterpart of a
signature page to this Consent by telecopier shall be effective as delivery of a
manually executed counterpart of this Consent.

         This Consent shall be governed by, and construed in accordance with,
the laws of the State of New York.

                                       11
<PAGE>   12
                                            MEDPARTNERS ACQUISITION CORPORATION

                                            By /s/ JAMES H. DICKERSON, JR.
                                               ---------------------------------
                                               Name:  James H. Dickerson, Jr.
                                               Title: President & Treasurer

                                            MEDPARTNERS AVIATION, INC.

                                            By /s/ SARA J. FINLEY
                                               ---------------------------------
                                               Name:  Sara J. Finley
                                               Title: Vice President & Secretary

                                            MEDPARTNERS EAST, INC.

                                            By /s/ JAMES H. DICKERSON, JR.
                                               ---------------------------------
                                               Name:  James H. Dickerson, Jr.
                                               Title: President & Treasurer

                                            MEDPARTNERS INTEGRATED NETWORK-
                                            CHANDLER, INC.

                                            By /s/ JAMES H. DICKERSON, JR.
                                               ---------------------------------
                                               Name:  James H. Dickerson, Jr.
                                               Title: Vice President & Treasurer

                                            MEDPARTNERS PROFESSIONAL
                                            MANAGEMENT CORPORATION

                                            By /s/ JAMES H. DICKERSON, JR.
                                               ---------------------------------
                                               Name:  James H. Dickerson, Jr.
                                               Title: President & Treasurer

                                            HEALTHWAYS, INC.

                                            By /s/ JAMES H. DICKERSON, JR.
                                               ---------------------------------
                                               Name:  James H. Dickerson, Jr.
                                               Title: President & Treasurer

                                        12
<PAGE>   13
                                        BAY AREA PRACTICE MANAGEMENT
                                        GROUP, INC.

                                        By /s/ Sara J. Finley
                                           -------------------------------------
                                           Name: Sara J. Finley
                                           Title: Vice President & Secretary

                                        By /s/ James H. Dickerson, Jr.
                                           -------------------------------------
                                           Name: James H. Dickerson, Jr.
                                           Title: Vice President & Treasurer

                                        CHS MANAGEMENT, INC.

                                        By /s/ James H. Dickerson, Jr.
                                           -------------------------------------
                                           Name: James H. Dickerson, Jr.
                                           Title: President & Treasurer

                                        CAREMARK INTERNATIONAL INC.

                                        By /s/ James H. Dickerson, Jr.
                                           -------------------------------------
                                           Name: James H. Dickerson, Jr.
                                           Title: President & Treasurer

                                        CAREMARK INC.

                                        By /s/ Sara J. Finley
                                           -------------------------------------
                                           Name: Sara J. Finley
                                           Title: Vice President & Secretary

                                        By
                                           -------------------------------------
                                           Name: Leisa Kizer
                                           Title: Treasurer

                                       13

<PAGE>   14
                                          PRESCRIPTION HEALTH SERVICES, INC.

                                          By  /s/ JAMES H. DICKERSON, JR.
                                              ----------------------------------
                                              Name:   James H. Dickerson, Jr.
                                              Title:  Vice President & Treasurer

                                          By  /s/ SARA J. FINLEY
                                              ----------------------------------
                                              Name:   Sara J. Finley
                                              Title:  Vice President & Secretary

                                          CAREMARK INTERNATIONAL HOLDINGS INC.

                                          By  /s/ JAMES H. DICKERSON, JR.
                                              ----------------------------------
                                              Name:   James H. Dickerson, Jr.
                                              Title:  Vice President & Treasurer

                                          MEDPARTNERS PHYSICIAN SERVICES INC.

                                          By  /s/ JAMES H. DICKERSON, JR.
                                              ----------------------------------
                                              Name:   James H. Dickerson, Jr.
                                              Title:  Vice President & Secretary

                                          FRIENDLY HILLS HEALTHCARE NETWORK INC.

                                          By  /s/ SARA J. FINLEY
                                              ---------------------------------
                                              Name:   Sara J. Finley
                                              Title:  Vice President & Treasurer

                                          MEDPARTNERS NSC LTD.

                                          By  /s/ JAMES H. DICKERSON, JR.
                                              ----------------------------------
                                              Name:   James H. Dickerson, Jr.
                                              Title:  Vice President & Treasurer

                                       14

<PAGE>   15

                                        MEDPARTNERS ADMINISTRATIVE
                                        SERVICES, INC.

                                        By /s/ James H. Dickerson, Jr.
                                           -------------------------------------
                                           Name:  James H. Dickerson, Jr.
                                           Title: Vice President & Treasurer

                                        MEDPARTNERS MANAGED CARE, INC.

                                        By /s/ Sara J. Finley
                                           -------------------------------------
                                           Name:  Sara J. Finley
                                           Title: Vice President & Secretary

                                        ACUTE CARE MEDICAL MANAGEMENT,
                                        INC.

                                        By /s/ Sara J. Finley
                                           -------------------------------------
                                           Name:  Sara J. Finley
                                           Title: Vice President & Secretary

                                        BGS HEALTHCARE, INC.

                                        By /s/ Sara J. Finley
                                           -------------------------------------
                                           Name:  Sara J. Finley
                                           Title: Vice President & Secretary

                                        HOME HEALTH AGENCY OF GREATER
                                        MIAMI, INC.

                                        By /s/ Sara J. Finley
                                           -------------------------------------
                                           Name:  Sara J. Finley
                                           Title: Vice President & Secretary

                                        PACIFIC MEDICAL GROUP, INC.

                                        By /s/ Sara J. Finley
                                           -------------------------------------
                                           Name:  Sara J. Finley
                                           Title: Vice President & Secretary

                                       15
<PAGE>   16
                                        PACIFIC PHYSICIAN SERVICES, INC.

                                        By /s/ James H. Dickerson, Jr.
                                           -------------------------------------
                                           Name: James H. Dickerson, Jr.
                                           Title: President & Treasurer

                                        PPS EAST, INC.

                                        By /s/ James H. Dickerson, Jr.
                                           -------------------------------------
                                           Name: James H. Dickerson, Jr.
                                           Title: President & Treasurer

                                        PPS NORTH CAROLINA MEDICAL
                                        MANAGEMENT, INC.

                                        By /s/ James H. Dickerson, Jr.
                                           -------------------------------------
                                           Name: James H. Dickerson, Jr.
                                           Title: President & Treasurer

                                        PPS RIVERSIDE DIVISION ACQUISITION
                                        AND MANAGEMENT CORP. I

                                        By /s/ James H. Dickerson, Jr.
                                           -------------------------------------
                                           Name: James H. Dickerson, Jr.
                                           Title: President & Treasurer

                                        PPS VALLEY MANAGEMENT, INC.

                                        By /s/ James H. Dickerson, Jr.
                                           -------------------------------------
                                           Name: James H. Dickerson, Jr.
                                           Title: President & Treasurer

                                        By /s/ Sara J. Finley
                                           -------------------------------------
                                           Name: Sara J. Finley
                                           Title: Vice President & Secretary

                                       16

<PAGE>   17

                             PACIFIC PHYSICIAN SERVICES
                             ARIZONA, INC.

                             By /s/ JAMES H. DICKERSON, JR.
                                -----------------------------------------
                                Name: James H. Dickerson, Jr.
                                Title: President & Treasurer

                             PACIFIC PHYSICIAN SERVICES
                             NEVADA, INC.

                             By /s/ JAMES H. DICKERSON, JR.
                                -----------------------------------------
                                Name: James H. Dickerson, Jr.
                                Title: President & Treasurer

                             PHYSICIANS' HOSPITAL MANAGEMENT
                             CORPORATION

                             By /s/ JAMES H. DICKERSON, JR.
                                -----------------------------------------
                                Name: James H. Dickerson, Jr.
                                Title: Vice President & Treasurer

                             RELIANT HEALTHCARE SYSTEMS, INC.

                             By /s/ JAMES H. DICKERSON, JR.
                                -----------------------------------------
                                Name: James H. Dickerson, Jr.
                                Title: President & Secretary

                             By /s/ SARA J. FINLEY
                                -----------------------------------------
                                  Name: Sara J. Finley
                                  Title: Vice President & Secretary

                             MEDPARTNERS/TALBERT MEDICAL
                             MANAGEMENT CORPORATION

                             By /s/ JAMES H. DICKERSON, JR.
                                -----------------------------------------
                                Name: James H. Dickerson, Jr.
                                Title: Vice President & Treasurer

                                       17

<PAGE>   18

                                      TALBERT MEDICAL MANAGEMENT
                                      CORPORATION

                                      BY /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name: James H. Dickerson, Jr.
                                        Title: Vice President & Treasurer

                                      TALBERT HEALTH SERVICES
                                      CORPORATION

                                      BY /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name: James H. Dickerson, Jr.
                                        Title: Vice President & Treasurer

                                      MEDPARTNERS ADMINISTRATION, L.P.

                                      BY /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name: James H. Dickerson, Jr.
                                        Title: Executive Vice President &
                                        Treasurer of Caremark Rx, Inc.,
                                        the General Partner

                                      18
<PAGE>   19

                                      MEDPARTNERS PHYSICIAN
                                      MANAGEMENT, L.P.

                                      By /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name: James H. Dickerson, Jr.
                                        Title: Executive Vice President of
                                        Caremark Rx, Inc., the General
                                        Partner

                                      MED TENNESSEE, INC.

                                      By /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name:  James H. Dickerson, Jr.
                                        Title: President & Treasurer

                                      MEDPARTNERS PHYSICIAN SERVICES OF
                                      ILLINOIS L.L.C.

                                      By /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name:  James H. Dickerson, Jr.
                                        Title: Vice President & Treasurer of
                                               North Suburban Clinic, Ltd.,
                                               a member

                                      CERRITOS INVESTMENT GROUP

                                      By /s/ James H. Dickerson, Jr.
                                        ----------------------------------------
                                        Name:  James H. Dickerson, Jr.
                                        Title: Executive Vice President & Chief
                                               Financial Officer of Caremark Rx,
                                               Inc,. a Partner

                                      By /s/ Sara J. Finley
                                        ----------------------------------------
                                        Name:  Sara J. Finley
                                        Title: Corporate Secretary of
                                               Caremark Rx, Inc., a Partner

                                      19
<PAGE>   20
                                     CERRITOS INVESTMENT GROUP II

                                     By /s/ JAMES H. DICKERSON, JR.
                                        ---------------------------------------
                                        Name:  James H. Dickerson, Jr.
                                        Title: Executive Vice President & Chief
                                               Financial Officer of Caremark Rx,
                                               Inc., a Partner

                                     By /s/ SARA J. FINLEY
                                        ---------------------------------------
                                        Name:  Sara J. Finley
                                        Title: Corporate Secretary of
                                               Caremark Rx, Inc., a Partner

                                     5000 AIRPORT PLAZA, L.P.

                                     By /s/ JAMES H. DICKERSON, JR.
                                        ---------------------------------------
                                        Name:  James H. Dickerson, Jr.
                                        Title: Executive Vice President & Chief
                                               Financial Officer of Caremark Rx,
                                               Inc., the General Partner

                                     By /s/ SARA J. FINLEY
                                        ---------------------------------------
                                        Name:  Sara J. Finley
                                        Title: Corporate Secretary of
                                               Caremark Rx, Inc.,
                                               the General Partner

                                       20

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