X0303 4 2010-11-16 0001170650 MEDCO HEALTH SOLUTIONS INC MHS 0001252016 WENTWORTH TIMOTHY C 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 1 Group Pres, Employer Accounts Common Stock 2010-11-16 4 M 0 42460.0000 42.7250 A 138375.0000 D Common Stock 2010-11-16 4 M 0 36995.0000 40.5800 A 175370.0000 D Common Stock 2010-11-16 4 S 0 2600.0000 59.8180 D 172770.0000 D Common Stock 2010-11-16 4 S 0 3100.0000 59.8090 D 169670.0000 D Common Stock 2010-11-16 4 S 0 34395.0000 59.2610 D 135275.0000 D Common Stock 2010-11-16 4 S 0 39360.0000 59.2590 D 95915.0000 D Common Stock 6656.0000 I By 401(k) Stock Option 40.5800 2010-11-16 4 M 0 36995.0000 0.0000 D 2019-02-26 Common Stock 36995.0000 73990.0000 D Stock Option 42.7250 2010-11-16 4 M 0 42460.0000 0.0000 D 2017-08-30 Common Stock 42460.0000 0.0000 D Represents weighted average sale price. Sales were executed at prices that ranged from $59.76 to $59.92. Represents weighted average sale price. Sales were executed at prices that ranged from $58.76 to $59.75. This option vests and becomes exercisable, in three annual installments, beginning February 26, 2010, subject to continued employment. The option vests and becomes exercisable, in three annual installments, beginning August 30, 2008, subject to continued employment. Colleen M. McIntosh, Attorney in Fact 2010-11-17