X0303 4 2009-06-01 0 0001090403 CATALYST HEALTH SOLUTIONS, INC. CHSI 0001276619 EPSTEIN STEVEN B 800 KING FARM BOULEVARD 4TH FLOOR ROCKVILLE MD 20850 1 0 0 0 Common Stock 2009-06-01 4 A 0 2000 A 8000 D Director Stock Options (right to buy) 6.47 2004-06-03 2013-06-03 Common Stock 15000 15000 D Director Stock Options (right to buy) 15.57 2005-06-02 2014-06-02 Common Stock 5000 5000 D Director Stock Options (right to buy) 17.61 2005-12-31 2015-06-08 Common Stock 5000 5000 D Award of restricted shares of common stock pursuant to the Catalyst Health Solutions, Inc. 2006 Stock Incentive Plan. The shares vest in two equal installments, with the first installment vesting on May 31, 2010 and the second vesting on May 31, 2011. These options were granted pursuant to the Catalyst Health Solutions, Inc. 2000 Directors' Stock Option Program (formerly HealthExtras, Inc.). These options were granted pursuant to the Catalyst Health Solutions, Inc. Amended & Restated 2000 Directors' Stock Option Program and became exercisable on the first anniversary of the date of grant; however, options not yet vested as of December 31, 2005 became exercisable as of that date. Exh: POA Bruce F. Metge for Steven B. Epstein by Power of Attorney 2009-06-03