NEOFORMA COM INC
8-K, EX-99.1, 2000-10-19
BUSINESS SERVICES, NEC
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                                                                    EXHIBIT 99.1


      AMENDMENT TO AMENDED AND RESTATED COMMON STOCK AND WARRANT AGREEMENT


        This AMENDMENT, dated as of October 18, 2000 (this "AMENDMENT"), amends
the Amended and Restated Common Stock and Warrant Agreement made and entered
into as of March 30, 2000, and amended and restated as of May 24, 2000 (the
"AGREEMENT"), by and between Neoforma.com, Inc., a Delaware corporation
("PARENT"), and VHA Inc., a Delaware corporation ("VHA").

                                    RECITALS

        WHEREAS, Parent, Novation, LLC, a Delaware limited liability company
("NOVATION"), VHA, University HealthSystem Consortium, an Illinois corporation
("UHC"), and Healthcare Purchasing Partners International, LLC, a Delaware
limited liability company ("HPPI") have entered into that certain Outsourcing
and Operating Agreement, dated as of March 30, 2000, and amended and restated as
of May 24, 2000 (the "OUTSOURCING AGREEMENT"). Capitalized terms in this
Amendment which are not otherwise defined in this Amendment shall have the
meanings assigned to them in the Agreement, or if not defined therein, in the
Outsourcing Agreement.

        WHEREAS, in consideration of the services rendered and to be rendered by
VHA pursuant to the Outsourcing Agreement and VHA's fulfillment of its duties
and obligations thereunder, Parent issued to VHA (i) 46,267,530 shares (such
shares, the "SHARES") of Parent common stock, par value $0.001 per share
("COMMON STOCK"), some of which Shares are subject to risk of forfeiture, and
(ii) a warrant to purchase 30,845,020 shares of Common Stock (the "WARRANT").

        WHEREAS, in order to increase the ability of VHA to create incentive
programs for its member and patron healthcare organizations to adopt and utilize
Parent's internet exchange, Parent and VHA mutually desire to (i) extend the
period under which certain of the Shares are subject to forfeiture from four
years to five years, (ii) substitute for the Warrant 30,845,020 shares of
restricted Common Stock, which shares shall be subject to forfeiture by VHA to
Parent, in each case, subject to the terms and conditions set forth in this
Amendment, and (iii) amend certain other agreements between the parties set
forth in the Agreement.

        NOW, THEREFORE, in consideration of the foregoing and the
representations, warranties, covenants and agreements set forth in this
Amendment, in the Agreement and the Outsourcing Agreement, the parties agree as
follows:
<PAGE>   2

                                    ARTICLE I
                    AMENDMENT OF SHARES FORFEITURE PROVISIONS

        1.1 Amendment of Shares Forfeiture Provisions. Section 1.5 of the
Agreement is hereby amended to read in its entirety as follows:

                "1.5 Forfeiture of Shares.

                (a) Thirty-three percent of the aggregate number of Shares
        issued to VHA pursuant to Section 1.2 of the Agreement shall be fully
        vested, and shall not be subject to any risk of forfeiture, upon their
        issuance.

                (b) Definitions.

                (i) A "SHARES DETERMINATION DATE" shall be each of April 1,
        2001, April 1, 2002, April 1, 2003, April 1, 2004 and April 1, 2005.

                (ii) The "SHARES TARGET NUMBER" of VHA HCOs for the Measuring
        Date (as defined in Section 1.5(c) of the Agreement) January 31, 2001,
        is 6 VHA HCOs; for the Measuring Date January 31, 2002, is 31 VHA HCOs;
        for the Measuring Date January 31, 2003, is 49 VHA HCOs; for the
        Measuring Date January 31, 2004, is 67 VHA HCOs; and for the Measuring
        Date January 31, 2005, is 85 VHA HCOs.

                (iii) The "SHARES TARGET PURCHASING VOLUME" for the one year
        period ending on the Measuring Date January 31, 2001, is $216 million;
        for the one year period ending on the Measuring Date January 31, 2002,
        is $966 million; for the one year period ending on the Measuring Date
        January 31, 2003, is $1.567 billion; for the one year period ending on
        the Measuring Date January 31, 2004, is $2.21 billion; and for the one
        year period ending on the Measuring Date January 31, 2005, is $2.83
        billion.

                (iv) "SHARES CUMULATIVE SIGNED PURCHASING VOLUME" means, as of
        any Shares Determination Date, the aggregate dollar volume of purchases
        during the one year period ending on the Measuring Date immediately
        preceding such Shares Determination Date by VHA HCOs that Signed-Up (as
        defined in Section 2.3(d) of this Amendment) with Parent on or prior to
        such Shares Determination Date (calculated, for each such VHA HCO, by
        multiplying (A) the amount of Novation LLC contract purchases (as
        reported in the SRIS system maintained for Novation LLC's benefit) by
        such VHA HCO during such one year period by (B) 2.4); provided, that if
        any VHA HCO terminated its Contract on or prior to the Shares
        Determination Date in question, its purchasing volume for the one year
        period ending on the Measuring Date in question shall not be included in
        the determination of the Shares Cumulative Signed Purchasing Volume
        being calculated.

                (v) "CONTRACT" shall mean a written agreement, arrangement or
        understanding between a VHA HCO and Parent providing for Parent to be
        the Preferred Provider (as defined in Section 2.3 of this Amendment) of
        an Internet-based system for the acquisition of Novation LLC contracted
        products by such VHA HCO.



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<PAGE>   3

                (c) Forfeiture. Sixty-seven percent of the aggregate number of
        Shares issued to VHA pursuant to Section 1.2 of the Agreement shall be
        subject to forfeiture by VHA to Parent pursuant to the terms of this
        Section 1.5(c). VHA shall forfeit and return to Parent, without the
        payment of any consideration by Parent to VHA or the taking of any
        action by Parent, 3.35% of the aggregate number of Shares issued to VHA
        pursuant to Section 1.2 of the Agreement on the first Shares
        Determination Date, 13.4% of the aggregate number of Shares issued to
        VHA pursuant to Section 1.2 of the Agreement on the second Shares
        Determination Date, and 16.75% of the aggregate number of Shares issued
        to VHA pursuant to Section 1.2 of the Agreement on each of the third,
        fourth and fifth Shares Determination Dates, if both (i) on the January
        31 immediately prior to such Shares Determination Date (a "MEASURING
        DATE"), the number of Healthcare Organizations (as defined in Section
        2.3(b) of this Amendment) that are members or patrons of VHA ("VHA
        HCOS"), that Signed-Up with Parent on or prior to such Measuring Date
        and did not terminate their Contract on or prior to such Measuring Date
        is less than the Shares Target Number of VHA HCOs for such Measuring
        Date, and (ii) the Shares Cumulative Signed Purchasing Volume as of such
        Determination Date is less than the Shares Target Purchasing Volume for
        the one year period ending on the Measuring Date which is immediately
        prior to such Shares Determination Date.

                (d) VHA shall require any proposed transferee of Shares that are
        subject to forfeiture under Section 1.5(c) of the Agreement to agree
        that such transferred Shares will remain subject to forfeiture to the
        extent provided in such Section.

                (e) In the event that a merger, consolidation, business
        combination, recapitalization, liquidation, dissolution or similar
        transaction involving Parent occurs in which all shares of Common Stock
        are converted into cash, or a cash tender offer for any or all shares of
        Common Stock is consummated, the provisions of Section 1.5 of the
        Agreement regarding forfeiture of Shares shall terminate. In the event
        that a merger, consolidation, business combination, recapitalization,
        liquidation, dissolution or similar transaction involving Parent occurs
        in which any shares of Common Stock are reclassified, or converted into
        securities of a person other than Parent, or an exchange offer for any
        or all shares of Common Stock into securities of a person other than
        Parent is consummated, the provisions of Section 1.5 of the Agreement
        regarding forfeiture of Shares shall terminate, unless VHA elects to
        waive the provisions of this Section 1.5(e) of the Agreement no later
        than 30 days before the consummation of such transaction."

        1.2 Anti-Dilution Adjustments. The number of shares of Common Stock
represented by the Shares, Restricted Shares (as defined in Section 2.1 of this
Amendment) or Vested Shares shall be equitably adjusted to reflect appropriately
the effect of any stock split, reverse stock split, stock dividend (including
any dividend or distribution of securities convertible into Common Stock),
reorganization, spin-off, recapitalization, reclassification or other like
change with respect to Common Stock occurring on or after the date hereof. The
number of Restricted Shares which shall become Vested Shares (as defined in
Section 2.2 of this Amendment) in accordance with the provisions of Article II
shall be equitably adjusted to reflect appropriately the effect of any stock
split, reverse stock split, stock dividend (including any dividend or
distribution of securities convertible into Common Stock), reorganization,
spin-off,



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recapitalization, reclassification or other like change with respect to Common
Stock occurring on or after the date hereof and prior to the vesting or
forfeiture of all Restricted Shares.



                                   ARTICLE II
                  SUBSTITUTION OF RESTRICTED SHARES FOR WARRANT

        2.1 Authorization; Closing. As of the consummation of transactions
substituting the Restricted Shares for the Warrant (the "SUBSTITUTION CLOSING"),
Parent will have authorized the issuance of 23,133,764 shares of restricted
Common Stock (the "TRANCHE A SHARES") and 7,711,256 shares of restricted Common
Stock (the "TRANCHE B SHARES", and collectively with the Tranche A Shares, the
"RESTRICTED SHARES"). The Substitution Closing will take place at the offices of
Fenwick & West LLP, Two Palo Alto Square, Palo Alto, California, at a time and
date to be specified by the parties.

        2.2 Cancellation and Substitution of Warrant and Issuance of Restricted
Shares.

        (a) At the Substitution Closing, VHA shall return to Parent for
cancellation, and Parent shall cancel, the Warrant. On and after the
Substitution Closing, the Warrant shall, in all respects, be cancelled,
terminated, and of no further force or effect.

        (b) At the Substitution Closing, Parent shall issue to VHA, 23,133,764
Tranche A Shares and 7,711,256 Tranche B Shares. VHA's right to fully enjoy
beneficial ownership of the Restricted Shares shall be subject to a substantial
risk of forfeiture by VHA to Parent pursuant to the terms and to the extent set
forth in this Article II (the "FORFEITURE RISK"). Restricted Shares that become
vested pursuant to this Article II and are no longer subject to the Forfeiture
Risk are referred to as "VESTED SHARES."

        2.3 Definitions.

                (a) "CUMULATIVE SIGNED PURCHASING VOLUME" means, as of any
Determination Date (as defined in Section 2.4(a), (b), (c) and (d) of this
Amendment), the sum of (x) the cumulative dollar volume of purchases by
Healthcare Organizations that are members or patrons of VHA (calculated, for
each such Healthcare Organization, by multiplying (A) the amount of Novation LLC
contract purchases (as reported in the SRIS system maintained for Novation LLC's
benefit) by such Healthcare Organization during the most recent complete
calendar year ending prior to the first Determination Date on or prior to which
such Healthcare Organization Signed-Up with Neoforma by (B) 2.4 (the "BASE
AMOUNT")) and that Signed-Up with Neoforma on or prior to such Determination
Date, plus (y) 80.4% of the cumulative dollar volume of purchases by Healthcare
Organizations that are members or patrons of Healthcare Purchasing Partners
International, LLC (using, for each such Healthcare Organization, its Base
Amount) and that Signed-Up with Neoforma on or prior to such Determination Date,
provided that (i) for purposes of computing the first Base Amount for each
Healthcare Organization, such Base Amount will be increased by 3.625% and (ii)
in addition to the increase in the Base Amount for any Healthcare Organization
pursuant to the preceding clause (i), the Base Amount for each Healthcare
Organization shall also be increased annually by 7.25% when computing Cumulative



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Signed Purchasing Volume for Determination Dates which are subsequent to the
first Determination Date on or prior to which a particular Healthcare
Organization Signed-Up with Neoforma. For purposes of clarity, the parties agree
that once a Healthcare Organization is deemed to have "Signed-Up" with Neoforma,
its Cumulative Signed Purchasing Volume, as computed and increased under the
formula set forth in this definition, shall be included in the computation of
Cumulative Signed Purchasing Volume for all Determination Dates arising on or
after the date such Healthcare Organization Signed-Up with Neoforma, whether or
not such Healthcare Organization continues to do business with Neoforma.

                (b) "HEALTHCARE ORGANIZATION" shall mean any facility providing
health care services.

                (c) "PREFERRED PROVIDER" means the Healthcare Organization
agrees to use the Neoforma internet-based system for at least 50% of its
internet-based purchases of Novation contracted products.

                (d) "SIGNED-UP" means, with respect to any Healthcare
Organization, that such Healthcare Organization and Neoforma have entered into a
written agreement, arrangement or understanding for Neoforma to be the Preferred
Provider of an Internet-based system for the acquisition of Novation contracted
products by such Healthcare Organization.

        2.4 Vesting of Tranche A Shares.

                (a) 5,783,441 Tranche A Shares shall become Vested Shares on
June 30, 2001 (the "FIRST DETERMINATION DATE") if Cumulative Signed Purchasing
Volume as of the First Determination Date is at least $2,328 million (the "FIRST
TRANCHE A TARGET AMOUNT").

                (b) 5,783,441 Tranche A Shares shall become Vested Shares on
June 30, 2002 (the "SECOND DETERMINATION DATE") if Cumulative Signed Purchasing
Volume as of the Second Determination Date is at least $6,233 million (the
"SECOND TRANCHE A TARGET AMOUNT").

                (c) 5,783,441 Tranche A Shares shall become Vested Shares on
June 30, 2003 (the "THIRD DETERMINATION DATE") if Cumulative Signed Purchasing
Volume as of the Third Determination Date is at least $9,629 million (the "THIRD
TRANCHE A TARGET AMOUNT").

                (d) 5,783,441 Tranche A Shares shall become Vested Shares on
June 30, 2004 (the "FOURTH DETERMINATION DATE") if Cumulative Signed Purchasing
Volume as of the Fourth Determination Date is at least $13,253 million (the
"FOURTH TRANCHE A TARGET AMOUNT").

                (e) In the event the Tranche A Target Amount of Cumulative
Signed Purchasing Volume specified in any of Section 2.4 paragraphs (a), (b),
(c) or (d) of this Amendment is not achieved as of the particular Determination
Date specified in such paragraph (such shortfall below a particular Tranche A
Target Amount being referred to as a "TRANCHE A SHORTFALL AMOUNT"), then the
number of Tranche A Shares which shall become Vested Shares at a particular
Determination Date pursuant to Section 2.4 paragraphs (a), (b), (c) or (d) of
this Amendment shall equal the product of 5,783,441 and a fraction, the
numerator of which is the



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<PAGE>   6

Cumulative Signed Purchasing Volume as of the Determination Date in question and
the denominator of which is the Tranche A Target Amount for the Determination
Date in question. By way of example, using the formula in the preceding
sentence, if as of June 30, 2001, Cumulative Signed Purchasing Volume is $2,000
million, 4,968,592 Tranche A Shares shall become Vested Shares:

                5,783,441 x 2,000 = 4,968,592 Vested Shares
                            -----
                            2,328

                If there is a Tranche A Shortfall Amount relating to a
particular Determination Date, then the number of Tranche A Shares which will
not vest due to such shortfall shall equal 5,783,441 minus the number of Tranche
A Shares which became Vested Shares on such Determination Date (the "TRANCHE A
SHORTFALL SHARES"). Using the facts set forth in the preceding example, if as of
June 30, 2001, Cumulative Signed Purchasing Volume is $2,000 million, and
4,968,592 Tranche A Shares become Vested Shares, then 814,849 Tranche A Shares
shall be deemed Tranche A Shortfall Shares as of the First Determination Date:

                5,783,441 - 4,968,592 = 814,849 Tranche A Shortfall Shares

                A Determination Date as of which there is a Tranche A Shortfall
Amount is referred to as a "TRANCHE A SHORTFALL DETERMINATION DATE". A
Determination Date which occurs immediately after a Tranche A Shortfall
Determination Date is referred to as a "TRANCHE A CATCH UP DETERMINATION DATE".
If as of a Tranche A Catch Up Determination Date, the applicable Tranche A
Target Amount for such Tranche A Catch Up Determination Date is met or exceeded,
then the Tranche A Shortfall Shares which did not vest on such Tranche A
Shortfall Determination Date shall immediately become Vested Shares on the
Tranche A Catch Up Determination Date, it being agreed that if the Tranche A
Target Amount relating to such Tranche A Catch Up Determination Date is not met,
such Tranche A Shortfall Shares shall never become vested. By way of example, if
the Tranche A Shortfall Amount on the First Determination Date is $328 million
resulting in 814,849 Tranche A Shortfall Shares, and as of the Second
Determination Date (which, in this example, is the Tranche A Catch Up
Determination Date with respect to the First Determination Date) the Second
Tranche A Target Amount of Cumulative Signed Purchasing Volume of $6,233 million
is met, then the 814,849 Tranche A Shortfall Shares relating to the First
Determination Date which had become a Tranche A Shortfall Determination Date
will become Vested Shares on the Second Determination Date, provided however,
that if as of the Second Determination Date Cumulative Signed Purchasing Volume
is less than $6,233 million, the 814,849 Tranche A Shortfall Shares relating to
the First Determination Date shall never become vested, even if as of the Third
Determination Date or the Fourth Determination Date the relevant Tranche A
Target Amount for such Determination Date is met or exceeded.

        2.5 Forfeiture of Tranche A Shares. On and following any date on which
any Tranche A Shares cannot become Vested Shares pursuant to the provisions of
Section 2.4 of this Amendment, all such Tranche A Shares that cannot become
Vested Shares shall, without the payment of any consideration by Parent or any
further action by VHA or Parent, be forfeited by VHA to Parent. Upon any such
forfeiture of Tranche A Shares, VHA shall promptly but in no



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<PAGE>   7

event later than three business days after such forfeiture return the shares so
forfeited to Parent for cancellation.

        2.6 Vesting of Tranche B Shares.

                (a) 1,927,814 Tranche B Shares shall become Vested Shares on the
First Determination Date if Cumulative Signed Purchasing Volume as of the First
Determination Date is at least $3,104 million (the "FIRST TRANCHE B TARGET
AMOUNT").

                (b) 1,927,814 Tranche B Shares shall become Vested Shares on the
Second Determination Date if Cumulative Signed Purchasing Volume as of the
Second Determination Date is at least $8,311 million (the "SECOND TRANCHE B
TARGET AMOUNT").

                (c) 1,927,814 Tranche B Shares shall become Vested Shares on the
Third Determination Date if Cumulative Signed Purchasing Volume as of the Third
Determination Date is at least $12,838 million (the "THIRD TRANCHE B TARGET
AMOUNT").

                (d) 1,927,814 Tranche B Shares shall become Vested Shares on the
Fourth Determination Date if Cumulative Signed Purchasing Volume as of the
Fourth Determination Date is at least $17,671 million (the "FOURTH TRANCHE B
TARGET AMOUNT").

                (e) In the event the Tranche B Target Amount of Cumulative
Signed Purchasing Volume specified in any of Section 2.6 paragraphs (a), (b),
(c) or (d) of this Amendment is not achieved as of the particular Determination
Date specified in such paragraph (such shortfall below a particular Tranche B
Target Amount being referred to as a "TRANCHE B SHORTFALL AMOUNT"), then the
number of Tranche B Shares which shall become Vested Shares at a particular
Determination Date pursuant to Section 2.6 paragraphs (a), (b), (c) or (d) of
this Amendment shall equal the product of 1,927,814 and a fraction, the
numerator of which is the Cumulative Signed Purchasing Volume as of the
Determination Date in question minus the Tranche A Target Amount for the
Determination Date in question and the denominator of which is the Tranche B
Target Amount for the Determination Date in question minus the Tranche A Target
Amount for the Determination Date in question. It is agreed that no Tranche B
Shares will become Vested Shares on a particular Determination Date if the
Tranche A Target Amount relating to such Determination Date is not exceeded. By
way of example, if as of June 30, 2001, Cumulative Signed Purchasing Volume is
$3,000 million, 1,669,447 Tranche B Shares shall become Vested Shares:

                1,927,814 x 3,000 - 2,328 = 1,669,447 Vested Shares
                            -------------
                            3,104 - 2,328

                If there is a Tranche B Shortfall Amount relating to a
particular Determination Date, then the number of Tranche B Shares which will
not vest due to such shortfall shall equal 1,927,814 minus the number of Tranche
B Shares which became Vested Shares on such Determination Date (the "TRANCHE B
SHORTFALL SHARES"). If no Tranche B Shares became Vested Shares on a
Determination Date, then there will be 1,927,814 Tranche B Shortfall Shares with
respect to the Determination Date in question. Using the facts set forth in the
preceding example, if as of June 30, 2001, Cumulative Signed Purchasing Volume
is $3,000 million, and



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1,669,447 Tranche B Shares become Vested Shares, then 258,367 Tranche B Shares
shall be deemed Tranche B Shortfall Shares as of the First Determination Date:

                1,927,814 - 1,669,447 = 258,367 Tranche B Shortfall Shares

                A Determination Date as of which there is a Tranche B Shortfall
Amount is referred to as a "TRANCHE B SHORTFALL DETERMINATION DATE". A
Determination Date which occurs immediately after a Tranche B Shortfall
Determination Date is referred to as a "TRANCHE B CATCH UP DETERMINATION DATE".
If as of a Tranche B Catch Up Determination Date, the applicable Tranche B
Target Amount for such Tranche B Catch Up Determination Date is met or exceeded,
then the Tranche B Shortfall Shares which did not vest on such Tranche B
Shortfall Determination Date shall immediately become Vested Shares on the
Tranche B Catch Up Determination Date, it being agreed that if the Tranche B
Target Amount relating to such Tranche B Catch Up Determination Date is not met,
such Tranche B Shortfall Shares shall never become vested. By way of example, if
the Tranche B Shortfall Amount on the First Determination Date is $104 million
resulting in 258,367 Tranche B Shortfall Shares, and as of the Second
Determination Date (which, in this example, is the Tranche B Catch Up
Determination Date with respect to the First Determination Date) the Second
Tranche B Target Amount of Cumulative Signed Purchasing Volume of $8,311 million
is met, then the 258,367 Tranche B Shortfall Shares relating to the First
Determination Date which had become a Shortfall Determination Date will become
Vested Shares on the Second Determination Date, provided however, that if as of
the Second Determination Date Cumulative Signed Purchasing Volume is less than
$8,311 million, the 258,367 Tranche B Shortfall Shares relating to the First
Determination Date shall never become vested, even if as of the Third
Determination Date or the Fourth Determination Date the relevant Tranche B
Target Amount for such Determination Date is met or exceeded.

        2.7 Forfeiture of Tranche B Shares. On and following any date on which
any Tranche B Shares cannot become Vested Shares pursuant to the provisions of
Section 2.6 of this Amendment, all such Tranche B Shares that cannot become
Vested Shares shall, without the payment of any consideration by Parent or any
further action by VHA or Parent, be forfeited by VHA to Parent. Upon any such
forfeiture of Tranche B Shares, VHA shall promptly but in no event later than
three business days after such forfeiture return the shares so forfeited to
Parent for cancellation.

        2.8 Continuation of Vesting Provisions. In the event of a merger,
consolidation, business combination, recapitalization, liquidation, dissolution
or similar transaction involving Parent pursuant to which shares of Common Stock
are converted into a different number or kind of security or other property
(other than cash), all Restricted Shares that are not Vested Shares shall remain
subject to the vesting provisions and the Forfeiture Right described in this
Article II, after equitably and proportionately adjusting the provisions of this
Article II to the number and kind of securities or other property into which the
Restricted Shares have been converted pursuant to such corporate transaction. In
the event of a merger, consolidation, business combination, recapitalization,
liquidation, dissolution or similar transaction involving Parent pursuant to
which all shares of Common Stock are converted into cash, or a cash tender offer
for all shares of Common Stock is consummated as to all shares of Common Stock,
all Restricted Shares shall become Vested Shares.



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<PAGE>   9

                                   ARTICLE III
                           REPRESENTATIONS, WARRANTIES
                        AND CERTAIN AGREEMENTS OF PARENT

        Parent hereby represents and warrants to VHA, subject to the exceptions
specifically disclosed in writing in the disclosure letter delivered by Parent
dated as of the date hereof and certified by a duly authorized officer of Parent
(the "PARENT DISCLOSURE LETTER") (which Parent Disclosure Letter shall be deemed
to be representations and warranties to VHA by Parent under this Section 3), as
follows:

        3.1 Organization of Parent.

                (a) Parent and each of its subsidiaries is a corporation duly
organized, validly existing and in good standing under the laws of the
jurisdiction of its incorporation and has all requisite corporate power and
authority, and all requisite qualifications to do business as a foreign
corporation, to conduct its business in the manner in which its business is
currently being conducted, except where the failure to be so organized, existing
or in good standing or to have such power, authority or qualifications would
not, individually or in the aggregate, have a Material Adverse Effect on Parent.

                (b) The Restricted Shares, when issued and paid for as provided
in this Agreement, will be duly authorized and validly issued, fully paid and
nonassessable.

                (c) Based in part on the representations made by VHA in Article
IV hereof, the issuance of the Restricted Shares solely to VHA in accordance
with this Agreement (assuming no change in currently applicable law) is exempt
from the registration and prospectus delivery requirements of the Securities Act
of 1933, as amended (the "1933 ACT").

        3.2 Due Authorization.

                (a) Parent has all requisite corporate power and authority to
enter into this Amendment and to consummate the transactions contemplated
hereby. The execution and delivery of this Amendment and the consummation of the
transactions contemplated hereby have been duly authorized by all necessary
corporate action on the part of Parent. This Amendment has been duly executed
and delivered by Parent and, assuming the due authorization, execution and
delivery thereof by VHA, constitutes the valid and binding obligation of Parent,
enforceable against Parent in accordance with its terms, except as
enforceability may be limited by bankruptcy and other similar laws affecting the
rights of creditors generally and general principles of equity.

                (b) The execution and delivery of this Amendment by Parent does
not, and the performance of this Amendment by Parent will not, (i) conflict with
or violate the Parent Charter Documents, (ii) conflict with or violate any law,
rule, regulation, order, judgment or decree applicable to Parent or by which any
of its properties is bound or affected, or (iii) result in any breach of or
constitute a default (or an event that with notice or lapse of time or both
would become a default) under, or impair Parent's rights or alter the rights or
obligations of any third party under, or give to others any rights of
termination, amendment, acceleration or cancellation of; or result in the
creation of an Encumbrance on any of the properties or assets of Parent pursuant
to, any note, bond, mortgage, indenture, contract, agreement, lease, license,
permit,



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<PAGE>   10

franchise or other instrument or obligation to which Parent is a party or by
which Parent or any of its properties are bound or affected, except, in the case
of clauses (ii) and (iii), for such conflicts, violations, breaches, defaults,
impairments, or rights which, individually or in the aggregate, would not have a
Material Adverse Effect on Parent or a material adverse effect on Parent's
ability to perform its obligations hereunder. There are no consents, waivers or
approvals under any of Parent's or any of its subsidiaries' agreements,
contracts, licenses or leases required to be obtained in connection with the
consummation of the transactions contemplated hereby, which, if individually or
in the aggregate not obtained, would have a Material Adverse Effect on Parent or
a material adverse effect on Parent's ability to perform its obligations
hereunder.

                (c) No consent, approval, order or authorization of, or
registration, declaration or filing with any court, administrative agency or
commission or other governmental entity or instrumentality, foreign or domestic
("GOVERNMENTAL ENTITY") is required to be obtained or made by Parent in
connection with the execution, delivery and performance of this Amendment or the
consummation of the transactions contemplated hereby, except for (i) such
consents, approvals, orders, authorizations, registrations, declarations and
filings as may be required under applicable federal, foreign and state
securities (or related) laws, and (ii) such other consents, authorizations,
filings, approvals and registrations which if not obtained or made would not
have a Material Adverse Effect on Parent or have a material adverse effect on
the ability of the parties hereto to consummate or perform the transactions
contemplated hereby.

        3.3 Nasdaq Listing. Parent agrees to authorize for listing on the Nasdaq
Stock Market the Restricted Shares issuable in connection with this Amendment,
effective upon official notice of issuance.

        3.4 Litigation. There are no claims, suits, actions or proceedings
pending or, to the knowledge of Parent, threatened against, relating to or
affecting Parent or any of its subsidiaries, before any Governmental Entity or
any arbitrator that seeks to restrain or enjoin the consummation of the
transactions contemplated by this Amendment.

        3.5 Brokers' and Finders' Fees. Parent has not incurred, nor will it
incur, directly or indirectly, any liability for brokerage or finders' fees or
agents' commissions or any similar charges in connection with this Amendment.

        3.6 Anti-Takeover Protections. The Board of Directors of Parent has
taken all actions so that the restrictions contained in Section 203 of the
General Corporation Law of the State of Delaware applicable to a "business
combination" (as defined in such Section 203) will not apply to the execution,
delivery or performance of this Amendment. To Parent's knowledge, no other
anti-takeover, control share acquisition, fair price, moratorium or other
similar statute or regulation applies or purports to apply to this Amendment or
the transactions contemplated hereby.



                                       10
<PAGE>   11

                                   ARTICLE IV
                           REPRESENTATIONS, WARRANTIES
                          AND CERTAIN AGREEMENTS OF VHA

        VHA hereby represents and warrants to Parent, subject to the exceptions
specifically disclosed in writing in the disclosure letter delivered by VHA
dated as of the date hereof and certified by a duly authorized officer of VHA
(the "VHA DISCLOSURE LETTER") (which VHA Disclosure Letter shall be deemed to be
representations and warranties to Parent by VHA under this Article IV), as
follows:

        4.1 Organization, Good Standing and Qualification. VHA represents that
it is an entity duly organized, validly existing and in good standing under the
laws of the state of its formation and has all requisite power and authority,
and all requisite qualifications to do business as a foreign entity, to conduct
its business in the manner in which its business is currently being conducted,
except where the failure to be so organized, existing or in good standing or to
have such power, authority or qualifications would not have a Material Adverse
Effect on VHA.

        4.2 Authorization.

                (a) VHA has all requisite power and authority to enter into this
Amendment and to consummate the transactions contemplated hereby. The execution
and delivery of this Amendment and the consummation of the transactions
contemplated hereby have been duly authorized by all necessary action on the
part of VHA. This Amendment has been duly executed and delivered by VHA and
constitutes the valid and binding obligations of VHA, enforceable against VHA in
accordance with its terms, except as enforceability may be limited by bankruptcy
and other similar laws affecting the rights of creditors generally and general
principles of equity.

                (b) The execution and delivery of this Amendment by VHA does
not, and the performance of this Amendment by VHA will not, (i) conflict with or
violate the certificate of incorporation, bylaws, operating agreement or other
organizational documents of VHA, (ii) conflict with or violate any law, rule,
regulation, order, judgment or decree applicable to VHA or by which any of its
properties are bound or affected, or (iii) result in any breach of or constitute
a default (or an event that with notice or lapse of time or both would become a
default) under, or impair VHA's rights or alter the rights or obligations of any
third party under, or give to others any rights of termination, amendment,
acceleration or cancellation of, or result in the creation of an Encumbrance on
any of the properties or assets of VHA pursuant to, any note, bond, mortgage,
indenture, contract, agreement, lease, license, permit, franchise or other
instrument or obligation to which VHA is a party or by which VHA or any of its
properties are bound or affected, except, in the case of clauses (ii) and (iii),
for such conflicts, violations, breaches, defaults, impairments, or rights
which, individually or in the aggregate, would not have a Material Adverse
Effect on VHA or a material adverse effect on VHA's ability to perform its
obligations hereunder. There are no consents, waivers or approvals under any of
VHA's or any of its subsidiaries' agreements, contracts, licenses or leases
which are required to be obtained in connection with the consummation of the
transactions contemplated hereby, which, if individually or in the aggregate not
obtained, would have a Material Adverse Effect on VHA or a material adverse
effect on VHA's ability to perform its obligations hereunder.



                                       11
<PAGE>   12

                (c) No consent, approval, order or authorization of, or
registration, declaration or filing with any Governmental Entity is required to
be obtained or made by VHA in connection with the execution and delivery of this
Amendment or the consummation of the transactions contemplated hereby, except
for (i) such consents, approvals, orders, authorizations, registrations,
declarations and filings as may be required under applicable federal, foreign
and state securities (or related) laws, and (ii) such other consents,
authorizations, filings, approvals and registrations which if not obtained or
made would not have a Material Adverse Effect on VHA or have a material adverse
effect on the ability of the parties hereto to consummate or perform the
transactions contemplated hereby.

        4.3 Acquisition for Own Account. Except as previously disclosed to
Parent, the Restricted Shares to be delivered to VHA hereunder will be acquired
for VHA's own account, not as a nominee or agent, and not with a view to the
public resale or distribution thereof within the meaning of the 1933 Act, and
VHA represents that it has no present intention or agreement to sell, grant any
participation in, or otherwise distribute any of the Restricted Shares to be
acquired by VHA hereunder in any public resale or distribution within the
meaning of the 1933 Act. VHA also represents that it has not been formed for the
specific purpose of acquiring the Restricted Shares.

        4.4 Disclosure of Information. VHA believes it has received or has had
full access to all the information it considers necessary or appropriate to make
an informed ownership decision with respect to the Restricted Shares to be
issued to VHA under this Agreement. VHA further has had an opportunity to ask
questions and receive answers from Parent regarding the terms and conditions of
the offering of the Restricted Shares and to obtain additional information (to
the extent Parent possessed such information or could acquire it without
unreasonable effort or expense) necessary to verify any information furnished to
VHA or to which VHA had access. The foregoing, however, does not in any way
limit or modify the representations and warranties made by Parent in Article
III.

        4.5 Experience. VHA understands that ownership of the Restricted Shares
involves substantial risk. VHA: (i) has experience as owner of securities of
companies in the development stage and acknowledges that VHA is able to fend for
itself, can bear the economic risk of VHA's ownership of the Restricted Shares
and has such knowledge and experience in financial or business matters that VHA
is capable of evaluating the merits and risks of ownership of the Restricted
Shares and protecting its own interests in connection with this ownership and/or
(ii) has a preexisting personal or business relationship with Parent and certain
of its officers, directors or controlling persons of a nature and duration that
enables VHA to be aware of the character, business acumen and financial
circumstances of such persons.

        4.6 Accredited Investor Status. VHA is an "accredited investor" within
the meaning of Regulation D promulgated under the 1933 Act.

        4.7 Restricted Securities. VHA understands that the Restricted Shares
will be characterized as "restricted securities" under the 1933 Act inasmuch as
they are being acquired from Parent in a transaction not involving a public
offering and that under the 1933 Act and applicable regulations thereunder such
securities may be resold without registration under the 1933 Act only in certain
limited circumstances. In this connection, VHA represents that VHA is



                                       12
<PAGE>   13

familiar with Rule 144 of the SEC, as presently in effect, and understands the
resale limitations imposed thereby and by the 1933 Act.

        4.8 No Solicitation. At no time was VHA presented with or solicited by
any publicly issued or circulated newspaper, mail, radio, television or other
form of general advertising or solicitation in connection with the issuance or
delivery of the Restricted Shares.

        4.9 Further Limitations on Disposition. Without in any way limiting the
representations set forth above, VHA agrees not to make any disposition of all
or any portion of the Shares or the Vested Shares or of any interest therein to
any person or entity unless:

                (a) there is then in effect a registration statement under the
        1933 Act covering such proposed disposition of Shares or the Vested
        Shares and such disposition is made in accordance with such registration
        statement; or

                (b) VHA shall have notified Parent of the proposed disposition
        of the Shares or the Vested Shares and shall have furnished Parent with
        a statement of the circumstances surrounding such proposed disposition,
        and, at the expense of VHA or its transferee, with an opinion of
        counsel, reasonably satisfactory to Parent, that such disposition will
        not require registration of such securities under the 1933 Act.

        VHA acknowledges and agrees that Restricted Shares that are not Vested
Shares may not be sold, pledged, Encumbered, transferred, assigned or otherwise
disposed of in any manner.

        4.10 Transfer of Restricted Shares. VHA agrees that it will not,
directly or indirectly, in a single transaction or series of related
transactions, without the prior written consent of Parent, sell, pledge,
Encumber, transfer, assign or otherwise dispose (each, a "TRANSFER") of legal or
beneficial ownership of any Restricted Shares to any person prior to such time
as they become Vested Shares pursuant to this Agreement. Any purported Transfer
in violation of the foregoing restriction shall be void and Parent may, and may
instruct the transfer agent of the Common Stock to, refuse to record, whether on
the stock records of Parent or otherwise, any purported transfer of unvested
Restricted Shares or recognize any purported transferee of unvested Restricted
Shares and Parent may issue stop transfer orders with respect to any such
Transfer of unvested Restricted Shares.

        4.11 Legends. VHA understands and agrees that the certificates
evidencing the Shares and the Restricted Shares will bear legends substantially
similar to those set forth in paragraphs (a) and (b) below, and that the
certificates evidencing the Restricted Shares will bear a legend substantially
similar to those set forth in paragraph (c) below, in addition to any other
legend that may be required by applicable law, by Parent's Certificate of
Incorporation or Bylaws, or by any agreement between Parent and VHA:


                (a) THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED
        UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE "ACT"), OR UNDER THE
        SECURITIES LAWS OF CERTAIN STATES. THESE SECURITIES ARE SUBJECT TO
        RESTRICTIONS ON TRANSFERABILITY AND RESALE AND MAY NOT BE TRANSFERRED OR
        RESOLD EXCEPT AS PERMITTED UNDER THE ACT AND THE



                                       13
<PAGE>   14

        APPLICABLE STATE SECURITIES LAWS, PURSUANT TO REGISTRATION OR EXEMPTION
        THEREFROM. INVESTORS SHOULD BE AWARE THAT THEY MAY BE REQUIRED TO BEAR
        THE FINANCIAL RISKS OF THIS INVESTMENT FOR AN INDEFINITE PERIOD OF TIME.
        THE ISSUER OF THESE SECURITIES MAY REQUIRE AN OPINION OF COUNSEL IN FORM
        AND SUBSTANCE SATISFACTORY TO THE ISSUER TO THE EFFECT THAT ANY PROPOSED
        TRANSFER OTHERWISE PERMITTED UNDER CONTRACTUAL RESTRICTIONS ON RESALE
        APPLICABLE TO THESE SECURITIES IS IN COMPLIANCE WITH THE ACT AND ANY
        APPLICABLE STATE SECURITIES LAWS.

                (b) THE SECURITIES REPRESENTED HEREBY MAY BE SUBJECT TO CERTAIN
        RESTRICTIONS ON RESALE AND ON VOTING AND THE HOLDERS HEREOF MAY BE BOUND
        BY CERTAIN RESTRICTIONS ON ACQUISITION OF THE ISSUER'S CAPITAL STOCK
        PURSUANT TO AN AMENDED AND RESTATED COMMON STOCK AND WARRANT AGREEMENT
        BETWEEN THE ORIGINAL HOLDER OF THESE SECURITIES AND THE ISSUER, A COPY
        OF WHICH MAY BE OBTAINED FROM THE ISSUER.

                (c) PURSUANT TO THE TERMS OF AN AMENDED AND RESTATED COMMON
        STOCK AND WARRANT AGREEMENT BETWEEN THE ORIGINAL HOLDER OF THESE
        SECURITIES AND THE ISSUER, A COPY OF WHICH MAY BE OBTAINED FROM THE
        ISSUER, THE SECURITIES REPRESENTED HEREBY MAY NOT BE SOLD, PLEDGED,
        ENCUMBERED OR OTHERWISE TRANSFERRED. THE ISSUER WILL NOT RECOGNIZE ON
        ITS STOCK TRANSFER RECORDS ANY PURPORTED TRANSFEREE OF THE SECURITIES
        REPRESENTED HEREBY.

The legend set forth in (a) above shall be removed by Parent from any
certificate evidencing Shares or Vested Shares upon delivery to Parent of an
opinion by counsel, reasonably satisfactory to Parent, to the effect that a
registration statement under the 1933 Act is at that time in effect with respect
to the legended security or to the effect that such security can be freely
transferred in a public sale without such a registration statement being in
effect and that such transfer will not jeopardize the exemption or exemptions
from registration pursuant to which Parent issued the Shares or the Vested
Shares when they were Restricted Shares. The legend set forth in (b) above shall
be removed by Parent from any certificate evidencing Shares or Vested Shares
upon delivery to Parent of an opinion by counsel, reasonably satisfactory to
Parent, to the effect that the resale, voting and standstill restrictions
contained in this Agreement, as amended hereby, are no longer applicable to the
holder of the securities represented thereby. The legend set forth in (c) above
shall be removed by Parent from any certificate evidencing Restricted Shares
which have become Vested Shares.

        4.12 Dividends for Restricted Shares. In the event that Parent declares
a dividend or other distribution to holders of its Common Stock, any such
dividend paid or distribution made in respect of Restricted Shares that have not
become Vested Shares shall be paid or made to an escrow holder selected by
Parent and reasonably satisfactory to VHA and held by such person to be
delivered either to VHA upon the vesting and delivery of the Restricted Shares
in respect of which such dividend or distribution was made or to Parent upon the
forfeiture of the Restricted Shares in respect of which such dividend or
distribution was made.



                                       14
<PAGE>   15

                                    ARTICLE V
                              ADDITIONAL AMENDMENTS


        5.1 Amendment of Voting Provisions. Section 6.1 of the Agreement is
hereby amended to read in its entirety as follows:

                "6.1 Voting of Common Stock. VHA agrees that from and after the
        date of the Closing through the fifth anniversary of the Closing (the
        "FIFTH ANNIVERSARY"), and for as long after the Fifth Anniversary as the
        outstanding shares of Common Stock (including Restricted Shares and
        Vested Shares) beneficially owned by VHA together with all "affiliates"
        (which for purposes of this Agreement (other than Section 4.12) shall
        have the meaning given such term in Rule 144(a)(1) promulgated under the
        1933 Act) of VHA exceeds 35% of the then outstanding Common Stock of
        Parent (the entire such period, the "RESTRICTED PERIOD"), to the extent
        that the outstanding shares of Common Stock (including outstanding
        Shares, Restricted Shares and Vested Shares) beneficially owned by VHA
        together with all affiliates of VHA exceeds 19.9% of the then
        outstanding Common Stock of Parent (the shares (including outstanding
        Shares, Restricted Shares and Vested Shares) in excess of such 19.9%
        threshold, "EXCESS SHARES"), VHA shall, and shall cause its affiliates
        to, vote all Excess Shares it holds or is entitled to vote in proportion
        to the votes cast by all other stockholders of Parent in connection with
        each matter submitted to Parent's stockholders for approval, except that
        in the cases of (i) a proposed Change of Control, (ii) the election of
        VHA's designated nominees to the Board of Directors of Parent, or (iii)
        an amendment of the Certificate of Incorporation of Parent that would
        materially and adversely affect VHA as a Parent stockholder in a manner
        different from the effect such amendment would have on other Parent
        stockholders generally, VHA may vote without restriction a number of
        shares of Common Stock (including Shares, Restricted Shares and Vested
        Shares) it beneficially owns equal to the product of (A) a fraction, the
        numerator of which is equal to (w) the number of shares of Common Stock
        (including Shares, Restricted Shares and Vested Shares) VHA beneficially
        owns on the record date used to determine stockholders eligible to vote
        on such matter minus (x) the number of Restricted Shares that are not
        Vested Shares on such date, and the denominator of which is (y) the
        total number of shares of Common Stock outstanding on such date minus
        (z) the number of Restricted Shares that are not Vested Shares on such
        date, multiplied by (B) the total number of shares of Common Stock
        outstanding on such date, and any shares of Common Stock beneficially
        owned by VHA in excess of such number shall be voted as Excess Shares.
        On all matters submitted to Parent stockholders for approval other than
        those identified in items (i), (ii) and (iii) of the preceding sentence,
        VHA shall, and shall cause its affiliates to, vote all Excess Shares in
        proportion to the votes cast by all other stockholders of Parent in
        connection with each matter submitted to Parent stockholders' for
        approval, including, without limitation, on any matters regarding
        equity-based or other compensation plans of Parent, the issuance of
        capital stock of Parent, amendments to the Certificate of Incorporation
        of Parent other than as set forth in clause (iii) above, elections of
        directors other than VHA's designated nominees to the Board of
        Directors, or transactions involving interested or related parties.
        Notwithstanding any voting restrictions set forth herein, the Board of
        Directors of Parent may waive any voting restriction set forth herein
        with respect to any particular matter.



                                       15
<PAGE>   16

        For purposes of this Agreement, "CHANGE OF CONTROL" means the
        consummation of any transaction or series of related transactions,
        including an acquisition of Parent by another entity and any
        reorganization, merger, consolidation or share exchange, that results in
        the beneficial owners of Parent's capital stock immediately prior to the
        transaction or transactions holding less than 50% of the voting power of
        Parent immediately after the transaction or transactions, or a
        transaction or series of related transactions which result in the sale,
        exchange, transfer, acquisition or disposition of more than 50% of the
        assets of Parent.

        5.2 Other Amendments.

                (a) Section 6.2 of the Agreement shall be amended by deleting
the phrase "except pursuant to the Warrant."

                (b) Section 6.4 of the Agreement shall be amended by deleting
the phrase, in two locations, "on a fully converted basis (taking into account
for VHA, all shares of Common Stock issuable upon exercise of the Warrant)."

                (c) Section 10.9 of the Agreement is hereby amended to read in
its entirety as follows:

                "10.9 Entire Agreement. The Agreement, as amended by this
        Amendment, together with all exhibits and schedules thereto and hereto,
        and the Outsourcing Agreement constitute the entire agreement and
        understanding of the parties with respect to the subject matter thereof
        and hereof and supersedes any and all prior negotiations,
        correspondence, agreements, understandings duties or obligations between
        the parties with respect to the subject matter hereof."


                                   ARTICLE VI
                               GENERAL PROVISIONS

        6.1 Reaffirmation. The Agreement, as amended hereby, is in all respects
ratified, reaffirmed and remade, and is in full force and effect.

        6.2 Governing Law. This Amendment shall be governed by and construed
under the internal laws of the State of Delaware as applied to agreements among
Delaware residents entered into and to be performed entirely within Delaware,
without reference to principles of conflict of laws or choice of laws.

        6.3 Counterparts. This Amendment may be executed in counterparts, each
of which shall be deemed an original, but all of which together shall constitute
one and the same agreement.

                                   * * * * *



                                       16
<PAGE>   17

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



                                       NEOFORMA.COM, INC.



                                       By:  /s/ FREDERICK RUEGSEGGER
                                           -------------------------------------
                                       Name: Frederick Ruegsegger
                                       Title: Chief Financial Officer

                                       VHA INC.



                                       By:  /s/ CURT NONOMAQUE
                                           -------------------------------------
                                       Name: Curt Nonomaque
                                       Title: Chief Financial Officer








      [SIGNATURE PAGE TO AMENDMENT TO AMENDED AND RESTATED COMMON STOCK AND
                               WARRANT AGREEMENT]


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