EXPRESS SCRIPTS INC
10-Q, EX-4.4, 2000-08-11
SPECIALTY OUTPATIENT FACILITIES, NEC
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                                  EXHIBIT 4.4

                              EXPRESS SCRIPTS, INC.
                                    as Issuer

                                 THE GUARANTORS
                                as defined herein
                                  as Guarantors

                                       and

                              BANKERS TRUST COMPANY
                                   as Trustee

                                  $250,000,000

                          9 5/8% SENIOR NOTES DUE 2009


                          SECOND SUPPLEMENTAL INDENTURE

                            Dated as of July 19, 2000

                                       to

                                    INDENTURE

                            Dated as of June 16, 1999



     SECOND SUPPLEMENTAL INDENTURE (this "Second Supplemental Indenture"), dated
as of  July 19,  2000,  among  Express  Scripts,  Inc.  (the  "Company"),  the
Guarantors  as named in the  Indenture  (as defined  herein),  and Bankers Trust
Company as trustee (the "Trustee").

     WHEREAS,  the Company  and the  Guarantors  have  heretofore  executed  and
delivered  to the  Trustee an  Indenture  dated as of June 16,  1999,  among the
Company,  the Guarantors and the Trustee (the  "Indenture"),  and a Supplemental
Indenture dated as of October 6, 1999, among the Company, the Guarantors and the
Trustee (the "First Supplemental Indenture"), relating to $250,000,000 aggregate
principal  amount at maturity of the Company's 9 5/8% Senior Notes due 2009 (the
"Notes");

     WHEREAS, Section 9.01 of the Indenture provides that without the consent of
any  Holder,  the  Company  and  the  Guarantors,  when  authorized  by a  Board
Resolution of each of them, and the Trustee,  together,  may amend or supplement
the Indenture to, among other things,  add Guarantees  with respect to the Notes
or make any other change that does not adversely  affect in any material respect
the rights of any Holders thereunder;

     WHEREAS,  pursuant to Section 4.16 of the Indenture,  if the Company or any
of its domestic Restricted  Subsidiaries  transfers any property to any domestic
Restricted  Subsidiary  that  is not  the  Company  or a  Guarantor,  then  such
transferee or acquired or other  Restricted  Subsidiary shall become a Guarantor
for all purposes of the Indenture;

     WHEREAS,  Section  4.16  of the  Indenture  requires  each  new  Restricted
Subsidiary  to execute and deliver to the Trustee a  supplemental  indenture  to
guarantee all of the Company's obligations under the Notes and the Indenture;

     WHEREAS,  pursuant to Section 4.03 of the Indenture,  the Company shall not
be required to preserve the existence of any Restricted  Subsidiary if the Board
of Directors of the Company  determines  that the  preservation of the corporate
existence  thereof is no longer  desirable in the conduct of the business of the
Company and its Restricted Subsidiaries;

     WHEREAS,  the  applicable  Boards  of  Directors  of the  Company  and  the
Restricted  Subsidiaries  have determined that the preservation of the corporate
existence  of certain  Restricted  Subsidiaries  is no longer  desirable  in the
conduct of the Company's business;

     WHEREAS,  the Company  has  effected  certain  dissolutions  of  Restricted
Subsidiaries pursuant to Section 4.03 of the Indenture;

     WHEREAS,  the  Company  desires to effect  certain  amendments  pursuant to
Section 4.03, Section 4.16 and Section 9.01 of the Indenture;

     WHEREAS,  the Company and each of the  Guarantors  are  authorized to enter
into this Second Supplemental  Indenture by resolution of the Board of Directors
of the Company or such Guarantor; .........WHEREAS, the Company has delivered to
the Trustee an Opinion of Counsel and an Officers' Certificate stating that such
amendment  or  supplement  is  permitted  or  authorized  under the terms of the
Indenture;

     WHEREAS,  all other  actions  necessary  to make this  Second  Supplemental
Indenture  a legal,  valid  and  binding  obligation  of the  parties  hereto in
accordance with its terms and the terms of the Indenture have been performed;

     NOW,  THEREFORE,  in consideration of the promises contained herein and for
other good and valuable  consideration,  the receipt and sufficiency of which is
hereby acknowledged, the Company, the Guarantors and the Trustee hereby mutually
covenant and agree for the equal and proportionate benefit of all Holders of the
Notes, as follows:

                                   ARTICLE ONE

                                   AMENDMENTS

SECTION 1.01......Addition of Guarantors.

     (a) Each of the  following  entities  hereby  agrees to become a  Guarantor
under  the  Indenture   and,   together  with  each  other   Guarantor,   hereby
unconditionally  and  irrevocably  guarantees,  jointly and  severally,  to each
Holder  and to the  Trustee  and its  successors  and  assigns  (i) the full and
punctual  payment of principal of and interest on the Notes when due, whether at
maturity, by acceleration,  by redemption,  by required repurchase or otherwise,
and all other monetary  obligations of the Company and the Guarantors  under the
Indenture  and the  Notes  and (ii) the full  and  punctual  performance  within
applicable  grace  periods  of all  other  obligations  of the  Company  and the
Guarantors   under  the  Indenture  and  the  Notes  (all  the  foregoing  being
hereinafter collectively called the "Guaranteed Obligations"):

            Name                             Jurisdiction of Incorporation

         ESI Claims, Inc.                    Delaware

         ESI Mail Pharmacy Service, Inc.     Delaware

         Express Scripts Specialty
         Distribution Services, Inc.         Delaware

         Express Scripts Utilization
         Management Co.                      Delaware


     (b)  Each  Guarantor  further  agrees  (i) to be  bound  by all  applicable
provisions  of the  Indenture and (ii) that the  Guaranteed  Obligations  may be
extended or renewed,  in whole or in part, without notice or further assent from
such  Guarantor and that such  Guarantor  will remain bound under this Article I
notwithstanding any extension or renewal of any Guaranteed Obligation.


SECTION 1.02......Dissolution of Guarantors.

     Each of the  following  entities has been  dissolved or merged into another
Restricted Subsidiary pursuant to Section 4.03 of the Indenture.  All references
in the Indenture to each or any "Guarantor"  shall from this day forth not refer
to the following entities:

   Name                                      Jurisdiction of Incorporation
Healthcare Services, Inc.                       Pennsylvania
Managed Prescription Network, Inc.              Delaware
MHI, Inc.                                       Nevada
ValueRx, Inc.                                   Delaware
ValueRx Pharmacy Program, Inc.                  Michigan


SECTION 1.03......References in the Indenture.

     By reason of the  addition of certain  Guarantors  pursuant to Section 1.01
hereof, the dissolution of certain  Guarantors  pursuant to Section 1.02 hereof,
and  the  continuation,  as  Guarantors,  of  the  other  Guarantors  under  the
Indenture, all references in the Indenture to the "Guarantors" are hereby deemed
to refer to the following entities,  and all references in the Indenture to each
or any "Guarantor" are hereby deemed to refer to each of such entities:

    Name                                          Jurisdiction of Incorporation
Diversified Pharmaceutical Services, Inc.                           Minnesota
ESI Claims, Inc.                                                    Delaware
ESI Mail Pharmacy Service, Inc.                                     Delaware
ESI/VRX Sales Development Co.                                       Delaware
Express Scripts Specialty Distribution Services, Inc.               Delaware
Express Scripts Utilization Management Co.                          Delaware
Express Scripts Vision Corp.                                        Delaware
IVTx, Inc.                                                          Delaware
Value Health, Inc.                                                  Delaware
YourPharmacy.com, Inc.                                              Delaware


                                   ARTICLE TWO

                                  MISCELLANEOUS

     SECTION  2.01.  For all  purposes  of this Second  Supplemental  Indenture,
except as otherwise  herein expressly  provided or unless the context  otherwise
requires: (A) the terms and expressions used herein shall have the same meanings
as  corresponding  terms and expressions used in the Indenture and (B) the words
"herein,"  "hereof" and "hereby" and other words of similar  import used in this
Second Supplemental  Indenture refer to this Second Supplemental  Indenture as a
whole and not any particular Article, Section or other subdivision.

     SECTION 2.02. Upon the effectiveness of this Second Supplemental Indenture,
the Indenture shall be modified in accordance herewith,  but except as expressly
amended hereby and by the First Supplemental Indenture,  the Indenture is in all
respects  ratified and confirmed and all the terms,  conditions  and  provisions
thereof shall remain in full force and effect.

     SECTION 2.03. Upon effectiveness,  this Second Supplemental Indenture shall
form a part of the  Indenture  and the  Second  Supplemental  Indenture  and the
Indenture shall be read,  taken and construed as one and the same instrument for
all purposes,  and every holder of Notes  heretofore or hereafter  authenticated
and delivered under the Indenture shall be bound hereby.

     SECTION 2.04. The Trustee has no responsibility  for the correctness of the
recitals of fact herein  contained which shall be taken as the statements of the
Company and makes no  representations  as to the validity or sufficiency of this
Second Supplemental  Indenture,  except as to the due and valid execution hereof
by the Trustee, and shall incur no liability or responsibility in respect of the
validity thereof. The Trustee's execution of this Second Supplemental  Indenture
should not be construed to be an approval or disapproval of the  advisability of
the amendments to the Indenture provided herein.

     SECTION  2.05.  The  Indenture  and the First  Supplemental  Indenture  are
qualified under the TIA, and this Second  Supplemental  Indenture  complies with
the TIA as currently in effect.

     SECTION 2.06. THIS SECOND SUPPLEMENTAL  INDENTURE SHALL BE GOVERNED BY, AND
CONSTRUED IN ACCORDANCE  WITH,  THE LAWS OF THE STATE OF NEW YORK  APPLICABLE TO
AGREEMENTS MADE AND TO BE PERFORMED ENTIRELY IN SAID STATE.

     SECTION  2.07.  This Second  Supplemental  Indenture may be executed in any
number of counterparts,  each of which when so executed shall be deemed to be an
original,  and all of such  counterparts  shall together  constitute one and the
same instrument.

     IN WITNESS WHEREOF, the parties hereto have caused this Second Supplemental
Indenture to be duly executed as of the day and year first above written.


EXPRESS SCRIPTS, INC.

By: /s/ George Paz
   Name: George Paz
   Title:Senior Vice President and Chief Financial Officer


DIVERSIFIED  PHARMACEUTICAL  SERVICES,  INC.,
ESI CLAIMS,  INC.,
ESI MAIL PHARMACY SERVICE, INC.,
ESI/VRX SALES DEVELOPMENT CO.,
EXPRESS SCRIPTS SPECIALTY DISTRIBUTION SERVICES, INC.,
EXPRESS SCRIPTS UTILIZATION MANAGEMENT CO.,
EXPRESS SCRIPTS VISION CORPORATION,
IVTX, INC.,
VALUE HEALTH,  INC.,
YOURPHARMACY.COM, INC.


By: /s/ George Paz
     Name: George Paz
     Title: Vice President


BANKERS TRUST COMPANY, as Trustee

By: /s/ Susan Johnson
   Name: Susan Johnson
   Title:Vice President



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