Item 7.01 Regulation FD Disclosure.

Senior members of Medco Health Solutions, Inc.'s (the "Company") management team will be making a presentation at the William Blair 29th Annual Growth Stock Conference on Thursday, June 11, 2009 at 9:20 a.m. Central Time (10:20 a.m. Eastern Daylight Time) at the Four Seasons Hotel in Chicago, Illinois. A live audio webcast of the Company's presentation at the conference will be available on the Company's Investor Relations website at www.medcohealth.com/investor. A replay of the Company's presentation will also be available on the Company's website for one month following the presentation. The slides accompanying the presentation are attached to this Current Report on Form 8-K ("Current Report") as Exhibit 99.1 and are incorporated herein solely for purposes of this Item 7.01 disclosure. These materials will also be available on the Company's Investor Relations website at www.medcohealth.com/investor.

The information in Item 7.01 of this Current Report, including Exhibit 99.1 attached hereto, is being furnished and shall not be deemed "filed" for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liabilities of such section. The information in Item 7.01 of this Current Report, including Exhibit 99.1 attached hereto, shall not be incorporated by reference into any registration statement or other document pursuant to the Securities Act of 1933, as amended.

Item 9.01 Financial Statements and Exhibits.

Exhibit No. Description 99.1 Slide Presentation for William Blair 29th Annual Growth Stock Conference on Thursday, June 11, 2009

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