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Employment Agreement - Medco Containment Services Inc. and Per G.H. Lofberg

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                                 July 27, 1993

Medco Containment Services, Inc.
100 Summit Avenue
Montvale, New Jersey 07645


      In connection with the transaction (the "Transaction") contemplated by the
Agreement and Plan of Merger dated as of July 27, 1993 (the "Merger Agreement")
among Merck & Co., Inc. ("Parent"), Acquisition Corp. and Medco Containment
Services, Inc. ("Medco"), I agree that, effective and contingent upon closing of
the Transaction, my current employment agreement is amended as follows:

        A.  In Section 9.4, the period for which I cannot engage in competitive
     activities is changed from the period stated in the employment agreement to
     a period expiring 5 years from the termination of my employment (the
     "Restricted Period").

        B.  In Section 9.5, the period for which I cannot solicit customers,
     employees, agents or consultants is changed from the period stated in the
     employment agreement to the Restricted Period.

        C.  In Section 4.4, the additional cash compensation that will become
     payable to me 18 months after closing of the Transaction will be payable in
     cash at such 18 months.  Within 60 trading days after my receipt of such
     additional cash compensation and within 60 trading days of my sale of
     shares of stock of Synetic, Inc. or Medical Marketing Group, Inc. obtained
     upon exercise of any options that accelerate as a result of the closing of
     the Transaction, I will invest an amount equal to 40% of the amount of such
     additional cash compensation and 40% of the proceeds from such sale, as the
     case may be, multiplied in each case by 34%, in shares of Parent common
     stock to be purchased on the open market (subject to any applicable legal
     restrictions under Federal securities laws on making such investment, and
     in the event of any such legal restrictions, I will invest as soon
     thereafter as possible).  I agree that I will not, without Parent's
     consent, sell or otherwise transfer such shares for a period of three years
     from the closing of the Transaction or until the earlier termination of my
     employment without "cause" or my resignation for "cause" (in each case as
     defined for purposes of my employment agreement) or death or disability.
     In the event that the Internal Revenue Service proposes an adjustment in my
     Federal tax liability as a result of the position taken by me on my Federal
     tax return with respect to such additional cash compensation, Medco will,
     at my request, pursue the defense thereof at its sole expense and on
     mutually agreeable terms, provided that Medco (or Parent) is contesting a
     similar position taken by the Internal Revenue Service with respect to its
     own tax return.

        D.  With respect to my existing shares of Medco common stock, I agree to
     elect to receive Parent common stock for all of such shares in accordance
     with Section 2.01 (c)(ii) of the Merger Agreement.

        E.  In Section 9.4 of my employment agreement, the restrictions on
     competitive employment shall have no territorial restrictions.

        F.  In Sections 9.4 and 9.5 of my employment agreement, the businesses
     to which the restrictions described therein apply shall be only (i) the
     pharmaceutical business of Parent and its Affiliates (unless such business
     is subsequently disposed of and I did not have material involvement in such
     business during the two-year period preceding the termination of my
     employment), (ii) the business as of either the closing of the Transaction
     or the termination of my employment of Medco and its subsidiaries (unless
     such business is subsequently disposed of and I did not have material
     involvement in such business during the two-year period preceding the
     termination of my employment) and (iii) any other then current business of
     Parent and its Affiliates as to which I become materially involved
     following the closing of the Transaction.

        G.  Section 7.3 of my employment agreement (and all references thereto)
     are deleted.

     I further agree that the provisions of the agreements evidencing any
options held by me to purchase shares of common stock of Medco which provide for
an acceleration of vesting in connection with the Transaction (including,
without limitation, the options granted to me as of October 14, 1992 subject to
stockholder approval to be obtained at the next meeting of Medco's stockholders)
will be waived so that such acceleration of vesting will not occur (in which
case the otherwise applicable vesting schedule will continue to apply).  In the
event that I am terminated by Medco without "cause" (as defined for purposes of
my employment agreement), resign for "cause" (as defined below), die or become
disabled, all of such options will become immediately vested and exercisable.
For purposes of this paragraph and for all other purposes of my employment
agreement, resignation for "cause" will mean my resignation due to:  (a) Medco's
material breach of any of the material terms of my employment agreement, (b) my
relocation without my consent to an office outside the greater New York City
metropolitan area (it being understood that such area shall be deemed to include
Whitehouse Station, New Jersey so long as I am provided with appropriate
transportation to such location from my residence, if my residence is more than
60 miles away), or (c) any diminution in my title, duties or responsibilities
that (i) results in my no longer having senior executive status with Medco or
(ii) requires me, without my consent, to devote more than a de minimis amount of
                                                            -- -------         
my time to an area of activity that I am not engaged in on the date hereof.

     All other provisions of my employment agreement shall continue in effect
without change.

                                          Very truly yours,

                                          /s/ Per G.H. Lofberg
                                          Per G.H. Lofberg

Agreed to:


By:  /s/ Charles A. Mele
     Charles A. Mele