X0303 4 2009-08-03 0001170650 MEDCO HEALTH SOLUTIONS INC MHS 0001387813 Kornwasser Laizer 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 1 SVP, Channel & Generic Stratg. Common Stock 2009-08-03 4 M 0 28400 22.095 A 103159 D Common Stock 2009-08-03 4 M 0 11520 28.17 A 114679 D Common Stock 2009-08-03 4 S 0 180 52.6 D 114499 D Common Stock 2009-08-03 4 S 0 3020 52.17 D 111479 D Common Stock 2009-08-03 4 S 0 14400 52.16 D 97079 D Common Stock 2009-08-03 4 S 0 25520 52.15 D 71559 D Stock Option 22.095 2009-08-03 4 M 0 28400 0 D 2015-02-24 Common Stock 28400 0 D Stock Option 28.17 2009-08-03 4 M 0 11520 0 D 2016-02-23 Common Stock 11520 11520 D Sale pursuant to 10b5-1 Trading Plan. Exercise pursuant to 10b5-1 Trading Plan. The option vests and becomes exercisable in three annual installments beginning February 25, 2006, subject to continued employment. This option vests and becomes exercisable in three annual installments, beginning February 24, 2007, subject to continued employment. Colleen M. McIntosh, Attorney in Fact 2009-08-05