X0201 4 2004-02-27 0 0001170650 MEDCO HEALTH SOLUTIONS INC MHS 0001252009 NARDIN ARTHUR H 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 0 1 0 0 SVP, Pharma Contracting Stock Option 32.51 2004-02-27 4 A 0 60000 0 A 2014-02-26 Common Stock 60000.00 60000.00 D The option vests and becomes exercisable in three annual installments beginning February 27, 2005, subject to continued employment. The option grant was communicated to the reporting person by the plan administrator on March 10, 2004, the date of this report. By: Colleen McIntosh, Attorney in Fact 2004-03-03