NATIONAL MEDICAL HEALTH CARD SYSTEMS INC
SC 13G, 2000-05-02
MISC HEALTH & ALLIED SERVICES, NEC
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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549

SCHEDULE 13G (Rule 13d-102)

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b), (c)
AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b)

NATIONAL MEDICAL HEALTH CARD SYSTEMS, INC.
(Name of Issuer)

Common Stock par value $.001 per share
(Title of Class of Securities)

636-918-302
(CUSIP Number)

(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:

[  ]  Rule 13d-1(b)

[  ]  Rule 13d-(c)

[  ]  Rule 13d-1(d)

(1)  The  remainder  of this  cover  page  shall be filled  out for a  reporting
     person's  initial  filing on this form with respect to the subject class of
     securities,  and for any subsequent amendment containing  information which
     would alter the disclosures provided in a prior cover page.

The  information  required  in the  remainder  of this  cover  page shall not be
     deemed to be  "filed"  for the  purpose  of  Section  18 of the  Securities
     Exchange  Act of 1934  or  otherwise  subject  to the  liabilities  of that
     section of the Act but shall be subject to all other  provisions of the Act
     (however, see the Notes).



<PAGE>

CUSIP No.636-918-302                    13G

1.   NAMES OF REPORTING PERSONS
     I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)

     GERALD SHAPIRO

2.   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*   (a)  [  ]

                                                         (b)  [  ]

3.   SEC USE ONLY

4.   CITIZENSHIP OR PLACE OF ORGANIZATION

     UNITED STATES

NUMBER         5.       SOLE VOTING POWER

OF SHARES               383,534

BENEFICIALLY   6.       SHARED VOTING POWER

OWNED BY EACH           -0-

REPORTING      7.       SOLE DISPOSITIVE POWER

PERSON                  383,534

WITH           8.       SHARED DISPOSITIVE POWER

                        -0-

9.   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

     383,534

10.  CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

11.  PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

     5.6%

12.  TYPE OF REPORTING PERSON*

     IN

*SEE INSTRUCTIONS BEFORE FILLING OUT!


<PAGE>


                              SCHEDULE 13G

Item 1(a).        Name of Issuer:

                  National Medical Health Card Systems, Inc.

Item 1(b).        Address of Issuer's Principal Executive Offices:

                  26 Harbor Park Drive
                  Port Washington, NY  11050

Item 2(a).        Name of Person Filing:

                  Gerald Shapiro

Item 2(b).        Address of Principal Business Office or, if None, Residence:

                  26 Harbor Park Drive
                  Port Washington, NY  11050

Item 2(c).        Citizenship:

                  United States of America

Item 2(d).        Title of Class of Securities:

                  Common Shares, par value $.001 per share

Item 2(e).        CUSIP Number:

                  636-918-302

Item 3.           If this  Statement is Filed  Pursuant to Rule  13d-1(b),
                  or 13d-2(b) or (c),  Check  Whether the Person Filing is a:

(a) [  ]  Broker or dealer registered under Section 15 of the Exchange Act.

(b) [  ]  Bank as defined in Section 3(a)(6) of the Exchange Act.

(c) [  ]  Insurance company as defined in Section 3(a)(19) of the Exchange Act.

(d) [  ]  Investment company registered under Section 8 of the Investment
          Company Act.

(e) [  ]  An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);

(f) [  ]  An employee benefit plan or endowment fund in accordance with
          Rule 13d-1(b)(1)(ii)(F);

(g) [  ]  A parent holding company or control person in accordance with
          Rule 13d-1(b)(1)(ii)(G);

(h) [  ]  A savings  association  as  defined in Section 3(b) of the
          Federal Deposit Insurance Act;

(i) [  ]  A church plan that is excluded from the definition of an investment
          company under Section 3(c)(14) of the Investment Company Act;

(j) [  ]  Group, in accordance with Rule 13d-1(b)(1)(ii)(J).

Item 4.   Ownership.

          Provide the following  information  regarding the aggregate number and
          percentage of the class of securities of the issuer identified in Item
          1.

(a)      Amount beneficially owned:

         383,534

(b)      Percent of Class:

         5.6%

(c)      Number of shares as to which such person has:

         (i)     Sole power to vote or to direct the vote 383,534,

         (ii)    Shared power to vote or to direct the vote -0-,

         (iii)   Sole power to dispose or to direct the disposition of 383,534,

         (iv)    Shared power to dispose or to direct the disposition of -0-.

Item 5.  Ownership of Five Percent or Less of a Class.

          If this  statement  is being  filed to report  the fact that as of the
          date hereof the reporting person has ceased to be the beneficial owner
          of more  than  five  percent  of the  class of  securities,  check the
          following [ ]. Inapplicable

Item 6.   Ownership of More than Five Percent on Behalf of Another Person.

          If any other person is known to have the right to receive or the power
          to direct the receipt of dividends from, or the proceeds from the sale
          of, such securities,  a statement to that effect should be included in
          response to this item and, if such interest  relates to more than five
          percent of the class,  such person should be identified.  A listing of
          the  shareholders  of  an  investment  company  registered  under  the
          Investment  Company  Act of 1940 or the  beneficiaries  of an employee
          benefit  plan,  pension  fund  or  endowment  fund  is  not  required.
          Inapplicable

Item 7.   Identification  and  Classification  of the Subsidiary Which Acquired
          the Security Being Reported on By the Parent Holding Company.

          If a parent holding company has filed this schedule,  pursuant to Rule
          13d-1(b)(ii)(G),  so  indicate  under  Item 3(g) and attach an exhibit
          stating the  identity  and the Item 3  classification  of the relevant
          subsidiary.  If a parent  holding  company  has  filed  this  schedule
          pursuant   to  Rule   13d-1(c),   attach  an   exhibit   stating   the
          identification of the relevant subsidiary. Inapplicable

Item 8.   Identification and Classification of Members of the Group.

          If   a   group   has   filed   this   schedule    pursuant   to   Rule
          13d-1(b)(1)(ii)(J),  so indicate under Item 3(h) and attach an exhibit
          stating the identity and Item 3  classification  of each member of the
          group.  If a group has filed this schedule  pursuant to Rule 13d-1(d),
          attach an exhibit  stating  the  identity of each member of the group.
          Inapplicable

Item 9.   Notice of Dissolution of Group.

          Notice  of  dissolution  of a group  may be  furnished  as an  exhibit
          stating the date of the  dissolution and that all further filings with
          respect to transactions in the security  reported on will be filed, if
          required,  by members of the group, in their individual capacity.  See
          Item 5. Inapplicable

Item 10.  Certifications.

(a)       The following certification shall be included if the statement is
          filed pursuant to Rule 13d-1(b):

          "By signing  below I certify  that,  to the best of my  knowledge  and
          belief, the securities referred to above were acquired and are held in
          the ordinary course of business and were not acquired and are not held
          for the purpose of or with the effect of changing or  influencing  the
          control of the issuer of the  securities and were not acquired and are
          not held in  connection  with or as a participant  in any  transaction
          having that purpose or effect." Inapplicable

(b)       The following certification shall be included if the statement is
          filed pursuant to Rule 13d-1(c):

          "By signing  below I certify  that,  to the best of my  knowledge  and
          belief, the securities referred to above were not acquired and are not
          held for the purpose of or with the effect of changing or  influencing
          the control of the issuer of the  securities and were not acquired and
          are not held in connection with or as a participant in any transaction
          having that purpose or effect." Inapplicable

<PAGE>

SIGNATURE

         After reasonable  inquiry and to the best of my knowledge and belief, I
certify that the information  set forth in this statement is true,  complete and
correct.


May 2, 2000
(Date)


/s/ Gerald Shapiro
(Signature)


Gerald Shapiro
(Name)



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