X0201 4 2003-08-26 0 0001170650 MEDCO HEALTH SOLUTIONS INC MHS 0001252004 EPSTEIN ROBERT S 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 0 1 0 0 SVP Medical Affairs & CMO Common Stock 2003-08-26 4 A 0 15100 0 A 15100.00 D Common Stock 286.00 I By 401(k) Stock Option 26.92 2003-08-26 4 A 0 80000 0 A 2013-08-25 Common Stock 80000.00 80000.00 D Stock Option 26.92 2003-08-26 4 A 0 225100 0 A 2013-08-25 Common Stock 225100.00 225100.00 D The award vests on August 26, 2005, subject to continued employment. The option vests and becomes exercisable in three annual installments beginning February 28, 2004, subject to continued employment. The option vests and becomes exercisable on August 26, 2005, subject to continued employment. By: Colleen McIntosh, Attorney in Fact 2003-08-27