Catalyst Health Solutions, Inc. Watch

from S-3ASR 53 pages Catalyst Health Solutions, Inc. Indenture Dated as of , 20 [ ] Trustee

from S-3ASR 2 pages [Logo of Catalyst Health Solutions, Inc. Appears Here] Common Stock Incorporated Under the Laws of the State of Delaware See Reverse for Certain Definitions Cusip This Certifies That Is the Registered Holder of Shares of the Common Stock of the Above Named Corporation, Fully Paid and Non-Assessable, Transferrable Only on the Books of the Corporation by the Holder Hereof in Person or by Attorney Upon Surrender of This Certificate Properly Endorsed. in Witness Whereof, the Said Corporation Has Caused This Certificate to Be Signed by Its Duly Authorized Officers and Its Corporate Seal to Be Hereunto Affixed This Day of A.D. 20

from 8-K 25 pages First Amendment to Amended and Restated Financing and Security Agreement

from 10-K 74 pages Amended and Restated Financing and Security Agreement Dated September 15, 2006 by and Between Healthextras, Inc. and Wachovia Bank, National Association

from S-3/A 58 pages Financing and Security Agreement Dated June 18, 2004 by and Between Healthextras, Inc. and Wachovia Bank, National Association

from 10-Q 58 pages Financing and Security Agreement Dated June 18, 2004 by and Between Healthextras, Inc. and Wachovia Bank, National Association

from 8-K 13 pages Form of Common Stock Warrant

from 8-K 17 pages Registration Rights Agreement

from 8-K 31 pages Stock Purchase Agreement by and Among Healthextras, Inc. (Buyer) and Kenneth J. Sack and Sack Family Trust (Sellers) June 18, 2004

from S-3 ~10 pages Indenture or similar

from S-1/A ~10 pages Exhibit 4.2 - Form of Stockholders Agreement

from S-1/A 1 page Indenture or similar