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Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
Originator-Key-Asymmetric:
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 TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB
MIC-Info: RSA-MD5,RSA,
 S/mDaCA6TwHKB2o29PgdJkcTUXgnvCpLfKbZ8YvfL0/St8A4f7s8BACmPo/Uz/Su
 yo51WTMhX0YKyb649KiWrg==

<SEC-DOCUMENT>0001209191-08-026954.txt : 20080501
<SEC-HEADER>0001209191-08-026954.hdr.sgml : 20080501
<ACCEPTANCE-DATETIME>20080501183838
ACCESSION NUMBER:		0001209191-08-026954
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20080430
FILED AS OF DATE:		20080501
DATE AS OF CHANGE:		20080501

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			NATIONAL MEDICAL HEALTH CARD SYSTEMS INC
		CENTRAL INDEX KEY:			0000813562
		STANDARD INDUSTRIAL CLASSIFICATION:	INSURANCE AGENTS BROKERS & SERVICES [6411]
		IRS NUMBER:				112581812
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			0607

	BUSINESS ADDRESS:	
		STREET 1:		26 HARBOR PARK DR
		CITY:			PORT WASHINGTON
		STATE:			NY
		ZIP:			11050
		BUSINESS PHONE:		5166260007

	MAIL ADDRESS:	
		STREET 1:		26 HARBOR PARK DRIVE
		CITY:			PORT WASHINGTON
		STATE:			NY
		ZIP:			11050

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			AJOUZ  MICHAEL B
		CENTRAL INDEX KEY:			0001284343

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-26749
		FILM NUMBER:		08796118

	MAIL ADDRESS:	
		STREET 1:		712 FIFTH AVE.
		CITY:			NEW YORK
		STATE:			NY
		ZIP:			10019
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>bna13058_bna01ma.xml
<DESCRIPTION>MAIN DOCUMENT DESCRIPTION
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0202</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2008-04-30</periodOfReport>

    <notSubjectToSection16>1</notSubjectToSection16>

    <issuer>
        <issuerCik>0000813562</issuerCik>
        <issuerName>NATIONAL MEDICAL HEALTH CARD SYSTEMS INC</issuerName>
        <issuerTradingSymbol>NMHC</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001284343</rptOwnerCik>
            <rptOwnerName>AJOUZ  MICHAEL B</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>26 HARBOR PARK DRIVE</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>PORT WASHINGTON</rptOwnerCity>
            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>11050</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable></nonDerivativeTable>

    <derivativeTable></derivativeTable>

    <remarks>The issuer is no longer a reporting company as a result of its merger with a subsidiary of SXC Health Solutions Corp. that took place
on April 30, 2008.</remarks>

    <ownerSignature>
        <signatureName>/s/ Michael B. Ajouz</signatureName>
        <signatureDate>2008-04-30</signatureDate>
    </ownerSignature>
</ownershipDocument>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
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