NATIONAL MEDICAL HEALTH CARD SYSTEMS INC
10-K, EX-10.8, 2000-09-29
MISC HEALTH & ALLIED SERVICES, NEC
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                                  EXHIBIT 10.8


                                 MARY T. CASALE
                                822 CEDAR AVENUE
                              HADDONFIELD, NJ 08033



                                                              February 1, 2000


Mr. Bert. E. Brodsky
26 Harbor Park Drive
Port Washington, NY  11050

                                   Re: OPTIONS

Dear Mr. Brodsky:

In  connection  with that Stock Option  Agreement  dated July 1, 1997 between us
wherein you granted me options to purchase 255,689  post-split  shares of common
stock of National Medical Health Card Systems,  Inc.  registered in your name at
an exercise price of $5.87 per share (the  "Options"),  I hereby  surrender such
Options effective immediately.

                                                              Very truly yours,


                                                              /s/Mary T. Casale
                                                              Mary T. Casale



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