Re: Temporary Salary Reduction Program

Exhibit 10.4

July 27, 2009

Cheryl D. Hodges
100 E. RiverCenter Blvd.
Suite 1600
Covington, KY 41011

          Re:     Temporary Salary Reduction Program

Dear Cheryl:

          As you know, Omnicare is implementing a temporary salary reduction program. During the period of Omnicare’s temporary salary reduction program, your regular base salary will be reduced by five percent (5%) from its current level. This reduction in your regular base salary will become effective as of July 16, 2009.

          The salary reduction does not constitute a breach of, or a failure by Omnicare or any of its affiliates to observe or perform any of their obligations under, your employment agreement with Omnicare, dated August 4, 1988 (the “Employment Agreement”) or any other agreement you may have with Omnicare or any of its affiliates. The salary reduction will have no effect on the vali