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)



                                                              Xxxxx 00, 0000


X-X Pharmaceutical Company
0000 Xxxxx Xxxxxx Xxxx
Xx. Xxxxx, XX 00000

Attention:  Xx. Xxxx X. Xxxxxxxx
            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.


                                            /s/ Xxxxxx X. Xxxxxxxx
                                            ------------------------------
                                            Xxxxxx X. Xxxxxxxx



                                            K-V Pharmaceutical Company

                                            By: /s/ Xxxxxx X. Xxxxxxxx
                                                --------------------------
                                                Xxxxxx X. Xxxxxxxx
                                                V-P, Treasurer and CFO