AMENDMENT NO. 1 TO EXECUTIVE EMPLOYMENT AGREEMENT

Exhibit 10.4

AMENDMENT NO. 1 TO EXECUTIVE EMPLOYMENT AGREEMENT

     THIS AMENDMENT NO. 1 TO EXECUTIVE EMPLOYMENT AGREEMENT (this “Amendment”) is made effective as of the 2 ^nd day of October, 2007, by and between Mylan Inc., a Pennsylvania corporation formerly known as Mylan Laboratories Inc. (the “Company”), and Heather Bresch (“Executive”).

     WHEREAS, the Company and Executive are party to that certain Executive Employment Agreement dated as of January 31, 2007 (the “Agreement”), pursuant to which the Company agreed to continue to employ Executive, and Executive accepted such employment, as more particularly described in the Agreement; and

     WHEREAS, the Company and Executive desire to amend the Agreement in accordance with Section 14 thereof, upon the terms and conditions set forth herein;

     NOW, THEREFORE, for good and valuable consideration, the recei