PERRIGO COMPANY FIRST SUPPLEMENT TO MASTER NOTE PURCHASE AGREEMENT Dated as of April 30, 2010 $115,000,000 4.91% Senior Notes, Series 2010-A, due April 30, 2017 $150,000,000 5.45% Senior Notes, Series 2010-B, due April 30, 2020 $150,000,000 5.55%...

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