March 31, 2003 K-V Pharmaceutical Company 2503 South Hanley Road St. Louis, MO 63144 Attention: Mr. Marc S. Hermelin Vice Chairman of the Board and Chief Executive Officer Dear Marc: I hereby offer to extend the Consulting Agreement dated May 1, 1999...

                                                              Exhibit 10(xx)



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Attention:  ▇▇. ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇
            Vice Chairman of the Board
            and Chief Executive Officer

Dear Marc:

         I hereby offer to extend the Consulting Agreement dated May 1, 1999
and expiring on April 30, 2004 for an additional seven year term through
April 30, 2011.


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                                            K-V Pharmaceutical Company

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                                                V-P, Treasurer and CFO