FIFTH AMENDMENT TO PRIME VENDOR AGREEMENT

Exhibit 10.1

NOTE:  CERTAIN INFORMATION (INDICATED BY “[****]”) IN THIS EXHIBIT HAS BEEN
OMITTED AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.
CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT TO THE OMITTED PORTIONS.

FIFTH AMENDMENT TO

PRIME VENDOR AGREEMENT

FIFTH AMENDMENT, dated as of January 1, 2012 (“Fifth Amendment”) to the PRIME VENDOR AGREEMENT made as of July 1, 2009, as amended as of March 2010, June 1, 2010, August 1, 2010 and May 1, 2011 (the “Existing PVA”), between AmerisourceBergen Drug Corporation (“ABDC”), on the one hand, and Bioscrip, Inc., BioScrip Infusion Services, Inc., Chonimed LLC, Bioscrip Pharmacy Inc., Bradhurst Specialty Pharmacy, Inc., Bioscrip Pharmacy (NY), Inc., Bioscrip PBM Services, LLC, Natural Living Inc., Bioscrip Infusion Services, LLC, Bioscrip Nursing Services, LLC, Bioscrip Infusion Management, LLC, Bioscrip Pharmacy Services, Inc., Critical Homecare Solutions, Inc., Specialty Pharma, Inc, New England Home Therapies, Inc., Deaconess Enterprises, LLC, Infusion Solutions, Inc, Professional Home Care Services, Inc., Xxxxxx Medical, Inc., Deaconess Homecare, LLC, South Mississippi Home Health, Inc., Regional Ambulatory Diagnostics, Inc., Elk Valley Professional Affiliates, Inc., Infusion Partners, LLC, Knoxville Home Therapies, LLC, South Mississippi Home Health, Inc.- Region I, South Mississippi Home Health, Inc. – Region II, South Mississippi Home Health, Inc. – Region III, Applied Health Care, LLC, East Goshen Pharmacy, Inc., Infusion Partners of Brunswick, LLC, Xxxxx Xxxxxx, Inc., Infusion Partners of Melbourne, LLC, Elk Valley Home Health Care Agency, Inc., Gericare, Inc., Cedar Creek Home Health Care Agency, Inc., Elk Valley Health Services, Inc., National Health Infusion, Inc., and Option Health, Ltd (severally and collectively sometimes hereinafter referred to and obligated as “Customer”), on the other hand.

Terms not otherwise defined herein shall have the meanings ascribed to such terms in the Existing PVA.

[****] Paragraph 3E is hereby amended [****] as follows:

[****]

Except as provided herein, all provisions, terms and conditions of the Existing PVA shall remain in full force and effect.  The parties have had a duly authorized officer execute this Fifth Amendment to the Existing PVA as of the date first listed above.

BIOSCRIP INC.   By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO   BIOSCRIP INFUSION SERVICES, INC.   By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO    

CHRONIMED, LLC By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	BIOSCRIP PHARMACY, INC. By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
BRADHURST SPECIALTY PHARMACY, INC. By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	BIOSCRIP PHARMACY (NY), INC. By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
BIOSCRIP PBM SERVICES, LLC By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	NATURAL LIVING, INC. By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
BIOSCRIP INFUSION SERVICES, LLC By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	BIOSCRIP NURSING SERVICES, LLC By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
BIOSCRIP INFUSION MANAGEMENT, LLC By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	SPECIALTY PHARMA, INC By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
CRITICAL HOMECARE SOLUTIONS, INC. By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	DEACONESS ENTERPRISES, LLC By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
NEW ENGLAND HOME THERAPIES, INC. By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	INFUSION SOLUTIONS, INC. By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO

Bioscrip 5th Amendment – ALT – National (January 2012)

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PROFESSIONAL HOME CARE SERVICES, INC. By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	XXXXXX MEDICAL, INC. By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
DEACONESS HOMECARE, LLC By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	REGIONAL AMBULATORY DIAGNOSTICS, INC. By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
SOUTH MISSISSIPPI HOME HEALTH, INC. By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	ELK VALLEY PROFESSIONAL AFFILIATES, INC. By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
INFUSION PARTNERS, LLC By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	KNOXVILLE HOME THERAPIES, LLC By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
SOUTH MISSISSIPPI HOME HEALTH, INC. - REGION I By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	SOUTH MISSISSIPPI HOME HEALTH, INC. – REGION II By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
SOUTH MISSISSIPPI HOME HEALTH, INC. – REGION III By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	APPLIED HEALTH CARE, LLC By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
EAST GOSHEN PHARMACY, INC. By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	INFUSION PARTNERS OF BRUNSWICK, LLC By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO

Bioscrip 5th Amendment – ALT – National (January 2012)

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XXXXX XXXXXX, INC. By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	INFUSION PARTNERS OF MELBOURNE, LLC By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
ELK VALLEY HOME HEALTH CARE AGENCY, INC. By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	GERICARE, INC. By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
CEDAR CREEK HOME HEALTH CARE AGENCY, INC. By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	ELK VALLEY HEALTH SERVICES, INC. By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
NATIONAL HEALTH INFUSION, INC. By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	OPTION HEALTH, LTD. By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
BIOSCRIP PHARMACY SERVICES, INC. By:      /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO	CHS HOLDINGS, INC. By:       /s/ Xxxxxxx Xxxxx  Name: Xxxxxxx Xxxxx Title: President and CEO
AMERISOURCEBERGEN DRUG CORPORATION By:       /s/ Xxxxx X. Xxxxx  Name: Xxxxx X. Xxxxx Title: EVP, Strategic Accounts

Bioscrip 5th Amendment – ALT – National (January 2012)

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