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                                                                   EXHIBIT 10.48

                          1998 IMS HEALTH INCORPORATED
                          EMPLOYEE STOCK PURCHASE PLAN
                 (Amended and Restated as of December 19, 2000)


1.    PURPOSE OF THE PLAN

      The purpose of the Plan is to give eligible employees of the Company and
      its Subsidiaries the ability to share in IMS Health's future success. The
      Company expects that it will benefit from the added interest which such
      employees will have in the welfare of the Company as a result of their
      increased equity interest in the Company's success.

2.    DEFINITIONS

      The following capitalized terms used in the Plan have the respective
      meanings set forth in this Section:

      (a)   ACT: The Securities Exchange Act of 1934, as amended, or any
            successor thereto.

      (b)   BENEFICIAL OWNER: As such term is defined in Rule 13d-3 under the
            Act (or any successor rule thereto).

      (c)   BOARD: The Board of Directors of the Company.

      (d)   CHANGE IN CONTROL: The occurrence of any of the following events:

            (i)   any person (other than the Company, any trustee or other
                  fiduciary holding securities under an employee benefit plan of
                  the Company, or any Company owned, directly or indirectly, by
                  the stockholders of the Company in substantially the same
                  proportions as their ownership of stock of the Company),
                  becomes the Beneficial Owner, directly or indirectly, of
                  securities of the Company representing 20% or more of the
                  combined voting power of the Company's then-outstanding
                  securities;

            (ii)  during any period of twenty-four months (not including any
                  period prior to the Effective Date), individuals who at the
                  beginning of such period constitute the Board, and any new
                  director (other than (A) a director nominated by a Person who
                  has entered into an agreement with the Company to effect a
                  transaction described in Sections 2(d)(i), (iii) or (iv) of
                  the Plan, (B) a director nominated by any Person (including
                  the Company) who publicly announces an intention to take or to
                  consider taking actions


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                  (including, but not limited to, an actual or threatened proxy
                  contest) which if consummated would constitute a Change in
                  Control or (C) a director nominated by any Person who is the
                  Beneficial Owner, directly or indirectly, of securities of the
                  Company representing 10% or more of the combined voting power
                  of the Company's securities) whose election by the Board or
                  nomination for election by the Company's stockholders was
                  approved in advance by a vote of at least two-thirds (2/3) of
                  the directors then still in office who either were directors
                  at the beginning of the period or whose election or nomination
                  for election was previously so approved, cease for any reason
                  to constitute at least a majority thereof;

            (iii) the stockholders of the Company approve any transaction or
                  series of transactions under which the Company is merged or
                  consolidated with any other company, other than a merger or
                  consolidation (A) which would result in the voting securities
                  of the Company outstanding immediately prior thereto
                  continuing to represent (either by remaining outstanding or by
                  being converted into voting securities of the surviving
                  entity) more than 66 2/3% of the combined voting power of the
                  voting securities of the Company or such surviving entity
                  outstanding immediately after such merger or consolidation and
                  (B) after which no Person holds 20% or more of the combined
                  voting power of the then-outstanding securities of the Company
                  or such surviving entity; or

            (iv)  the stockholders of the Company approve a plan of complete
                  liquidation of the Company or an agreement for the sale or
                  disposition by the Company of all or substantially all of the
                  Company's assets.

      (e)   CODE: The Internal Revenue Code of 1986, as amended, or any
            successor thereto.

      (f)   COMMITTEE: The Compensation and Benefits Committee of the Board.

      (g)   COMPANY: IMS Health Incorporated, a Delaware corporation.

      (h)   COMPENSATION: Base salary, annual bonuses, commissions, overtime and
            shift pay, in each case prior to reductions for pre-tax
            contributions made to a plan or salary reduction contributions to a
            plan excludable from income under Section 125 of the Code.
            Notwithstanding the foregoing, Compensation shall exclude severance
            pay (including, without limitation, severance pay under The IMS
            Health Incorporated Employee Protection Plan), stay-on bonuses,
            long-term bonuses, retirement income, change-in-control payments,
            contingent payments, income derived from stock options, stock
            appreciation rights and other equity-based compensation and other
            forms of special remuneration.


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      (i)   DISABILITY: Inability to engage in any substantial gainful activity
            by reason of a medically determinable physical or mental impairment
            which constitutes a permanent and total disability, as defined in
            Section 22(e)(3) of the Code (or any successor section thereto). The
            determination whether a Participant has suffered a Disability shall
            be made by the Committee based upon such evidence as it deems
            necessary and appropriate. A Participant shall not be considered
            disabled unless he or she furnishes such medical or other evidence
            of the existence of the Disability as the Committee, in its sole
            discretion, may require.

      (j)   DISTRIBUTION: [Reserved].

      (k)   DISQUALIFYING DISPOSITION: As such term is defined in Section 10(f)
            of the Plan.

      (l)   EFFECTIVE DATE: The date on which the Plan takes effect, as defined
            pursuant to Section 22 of the Plan.

      (m)   FAIR MARKET VALUE: On a given date, the arithmetic average of the
            high and low prices of the Shares as reported on such date on the
            Composite Tape of the principal national securities exchange on
            which such Shares are listed or admitted to trading, or, if no
            Composite Tape exists for such national securities exchange on which
            such Shares are listed or admitted to trading, or, if the Shares are
            not listed or admitted on a national securities exchange, the
            arithmetic average of the per Share closing bid price and per Share
            closing asked price on such date as quoted on the National
            Association of Securities Dealers Automated Quotation System (or
            such market in which such prices are regularly quoted), or, if there
            is no market on which the Shares are regularly quoted, the Fair
            Market Value shall be the value established by the Committee in good
            faith. If no sale of Shares shall have been reported on such
            Composite Tape or such national securities exchange on such date or
            quoted on the National Association of Securities Dealers Automated
            Quotation System on such date, then the immediately preceding date
            on which sales of the Shares have been so reported or quoted shall
            be used.

      (n)   MAXIMUM SHARE AMOUNT: Subject to Section 423 of the Code, the
            maximum number of Shares that a Participant may purchase on any
            given Purchase Date, as determined by the Committee in its sole
            discretion.

      (o)   OFFERING DATE: The first date of an Offering Period.

      (p)   OFFERING PERIOD: An offering period described in Section 5 of the
            Plan.

      (q)   OPTION: A stock option granted pursuant to Section 8 of the Plan.


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      (r)   PARTICIPANT: An individual who is eligible to participate in the
            Plan pursuant to Section 6 of the Plan.

      (s)   PARTICIPATING SUBSIDIARY: A Subsidiary of the Company that is
            selected to participate in the Plan by the Committee in its sole
            discretion.

      (t)   PAYROLL DEDUCTION ACCOUNT: An account to which payroll deductions of
            Participants are credited under Section 10(c) of the Plan.

      (u)   PERSON: As such term is used for purposes of Section 13(d) or 14(d)
            of the Act (or any successor section thereto).

      (v)   PLAN: The 1998 IMS Health Incorporated Employee Stock Purchase Plan
            (as amended and restated as of December 19, 2000).

      (w)   PLAN BROKER: A stock brokerage or other financial services firm
            designated by the Committee in its sole discretion.

      (x)   PURCHASE DATE: The last date of an Offering Period.

      (y)   PURCHASE PRICE: The purchase price per Share, as determined pursuant
            to Section 9 of the Plan.

      (z)   RETIREMENT: Termination of employment with the Company or a
            Subsidiary after such Participant has attained age 55 and five years
            of service with the Company; or, with the prior written consent of
            the Committee that such termination be treated as a Retirement
            hereunder, termination of employment under other circumstances.

      (aa)  SHARES: Shares of common stock, par value $0.01 per Share, of the
            Company.

      (bb)  SUBSIDIARY: A subsidiary corporation, as defined in Section 424(f)
            of the Code (or any successor section thereto).


3.    SHARES SUBJECT TO THE PLAN

      The total number of Shares which may be issued under the Plan is
      3,000,000. The Shares may consist, in whole or in part, of unissued
      Shares, treasury Shares or Shares purchased on the open market. The
      issuance of Shares pursuant to the Plan shall reduce the total number of
      Shares available under the Plan.


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4.    ADMINISTRATION OF THE PLAN

      The Plan shall be administered by the Committee, which may delegate its
      duties and powers in whole or in part to any subcommittee thereof
      consisting solely of at least two individuals who are each "non-employee
      directors" within the meaning of Rule 16b-3 under the Act (or any
      successor rule thereto). The Committee is authorized to interpret the
      Plan, to establish, amend and rescind any rules and regulations relating
      to the Plan, and to make any other determinations that it deems necessary
      or desirable for the administration of the Plan. The Committee may correct
      any defect or supply any omission or reconcile any inconsistency in the
      Plan in the manner and to the extent the Committee deems necessary or
      desirable. Any decision of the Committee in the interpretation and
      administration of the Plan, as described herein, shall lie within its sole
      and absolute discretion and shall be final, conclusive and binding on all
      parties concerned (including, but not limited to, Participants and their
      beneficiaries or successors). Subject to Section 16 of the Act or other
      applicable law, the Committee may delegate its duties and powers under the
      Plan to such individuals as it designates in its sole discretion.

5.    OFFERING PERIODS

      Offering Periods shall be of six-months duration and shall commence on
      January 1 and July 1 of each year. Notwithstanding the foregoing, the
      Committee may change the duration of any Offering Period in its sole
      discretion.

6.    ELIGIBILITY

      Any individual who is an employee of the Company or of a Participating
      Subsidiary is eligible to participate in the Plan, except for the
      following employees:

      (a)   employees whose customary employment is twenty (20) hours or less
            per week within the meaning of Section 423(b)(4)(B) of the Code,

      (b)   employees whose customary employment is for not more than five (5)
            months in any calendar year within the meaning of Section
            423(b)(4)(C) of the Code; and

      (c)   employees who, if granted an option would immediately thereafter own
            stock possessing five percent (5%) or more of the total combined
            voting power or value of all classes of stock of the employer
            corporation or of its parent or Subsidiary corporation within the
            meaning of Section 423(b)(3) of the Code. For purposes of this
            Section 6(c) of the Plan, the rules of Section 424(d) of the Code
            shall apply in determining stock ownership of


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            an individual, and stock which the employee may purchase under
            outstanding options shall be treated as stock owned by the employee.


7.    PARTICIPATION IN THE PLAN

      The Committee shall set forth procedures pursuant to which Participants my
      elect to participate in a given Offering Period under the Plan. Once a
      Participant elects to participate in an Offering Period, such employee
      shall automatically participate in all subsequent Offering Periods, unless
      the employee (a) makes a new election or (b) withdraws from an Offering
      Period or from the Plan pursuant to Section 11 of the Plan.

8.    GRANT OF OPTION ON ENROLLMENT

      Each Participant who elects to participate in a given Offering Period
      shall be granted (as of the Offering Date) an Option to purchase (as of
      the Purchase Date) a number of Shares equal to the lesser of (i) the
      Maximum Share Amount or (ii) the number determined by dividing the amount
      accumulated in such employee's payroll deduction account during such
      Offering Period by the Purchase Price.

9.    PURCHASE PRICE

      The Purchase Price at which a Share will be sold for a given Offering
      Period, as of the Purchase Date, shall be eighty-five percent (85%) of the
      lesser of:

      (a)   the Fair Market Value of a Share on the Offering Date; or

      (b)   the Fair Market Value of a Share on the Purchase Date.


10.   PAYMENT OF PURCHASE PRICE; CHANGES IN PAYROLL DEDUCTIONS; ISSUANCE OF
      SHARES

      Subject to Sections 11 and 12 of the Plan:

      (a)   Payroll deductions shall be made on each day that Participants are
            paid during an Offering Period with respect to all Participants who
            elect to participate in such Offering Period. The deductions shall
            be made as a percentage of the Participant's Compensation in one
            percent (1%) increments, from one percent (1%) to twenty percent
            (20%) of such Participant's Compensation, as elected by the
            Participant; provided however, that no Participant shall be
            permitted to purchase Shares under


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            this Plan (or under any other "employee stock purchase plan" within
            the meaning of Section 423(b) of the Code, of the Company or any of
            its Subsidiaries) with an aggregate Fair Market Value (as determined
            as of each Offering Date) in excess of $21,250 for any one calendar
            year within the meaning of Section 423(b)(8) of the Code. For a
            given Offering Period, payroll deductions shall commence on the
            Offering Date and shall end on the related Purchase Date, unless
            sooner altered or terminated as provided in the Plan.

      (b)   A Participant shall not change the rate of payroll deductions once
            an Offering Period has commenced. The Committee shall specify
            procedures by which a Participant may increase or decrease the rate
            of payroll deductions for subsequent Offering Periods.

      (c)   All payroll deductions made with respect to a Participant shall be
            credited to his or her Payroll Deduction Account under the Plan and
            shall be deposited with the general funds of the Company, and no
            interest shall accrue on the amounts credited to such Payroll
            Deduction Accounts. All payroll deductions received or held by the
            Company may be used by the Company for any corporate purpose, and
            the Company shall not be obligated to segregate such payroll
            deductions. A Participant may not make any separate cash payment
            into his or her Payroll Deduction Account, and payment for Shares
            purchased under the Plan may not be made in any form other than by
            payroll deduction.

      (d)   On each Purchase Date, the Company shall apply all funds then in the
            Participant's Payroll Deduction Account to purchase Shares (in whole
            and/or fractional Shares, as the case may be) pursuant to the Option
            granted on the Offering Date. In the event that the number of Shares
            to be purchased by all Participants in one Offering Period exceeds
            the number or Shares then available for issuance under the Plan, (i)
            the Company shall make a pro rata allocation of the remaining Shares
            in as uniform a manner as shall be practicable and as the Committee
            shall determine to be equitable and (ii) all funds not used to
            purchase Shares on the Purchase Date shall be returned, without
            interest, to the Participant.

      (e)   As soon as practicable following the end of each Offering Period,
            the number of Shares purchased by each Participant shall be
            deposited into an account established in the Participant's name with
            the Plan Broker. Unless otherwise permitted by the Committee in its
            sole discretion, dividends that are declared on the Shares held in
            such account shall be reinvested in whole or fractional Shares.

      (f)   Once the holding period set forth in Section 423(a) of the Code has
            been satisfied with respect to a Participant's Shares, the
            Participant may (i)


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            keep his or her shares in the account established in the
            Participant's name with the Plan Broker, (ii) transfer his or her
            Shares to another brokerage account of Participant's choosing or
            (iii) request in writing that a stock certificate be issued to him
            or her with respect to the whole Shares in his or her Plan Broker
            account and that any fractional Shares remaining in such account be
            paid in cash to him or her. The Committee may require, in its sole
            discretion, that the Participant bear the cost of transferring such
            Shares or issuing certificates for such Shares. Any Participant who
            engages in a "Disqualifying Disposition" of his or her Shares within
            the meaning of Section 421(b) of the Code shall notify the Company
            of such Disqualifying Disposition in accordance with Section 20 of
            the Plan.

      (g)   The Participant shall have no interest or voting right in the Shares
            covered by his or her Option until such Option is exercised.

11.   WITHDRAWAL

      Each Participant may withdraw from an Offering Period or from the Plan
      under such terms and conditions as are established by the Committee in its
      sole discretion. Upon a Participant's withdrawal from an Offering Period
      or from the Plan, all accumulated payroll deductions in the Payroll
      Deduction Account shall be returned, without interest, to such
      Participant, and he or she shall not be entitled to any Shares on the
      Purchase Date or thereafter with respect to the Offering Period in effect
      at the time of such withdrawal. Such Participant shall be permitted to
      participate in subsequent Offering periods pursuant to such terms and
      conditions established by the Committee in its sole discretion.

12.   TERMINATION OF EMPLOYMENT

      A Participant shall cease to participate in the Plan upon his or her
      termination of employment for any reason (including, but not limited to,
      Retirement, death or Disability). In such event, all payroll deductions
      credited to the Participant's Payroll Deduction Account shall be returned,
      without interest, to such Participant or to his or her designated
      beneficiary, as the case may be, and such Participant or beneficiary shall
      have no future rights in any unexercised Options under the Plan.

13.   ADJUSTMENTS UPON CERTAIN EVENTS

      Notwithstanding any other provisions in the Plan to the contrary, the
      following provisions shall apply to all Options granted under the Plan:


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      (a)   GENERALLY. In the event of any change in the outstanding Shares by
            reason of any Share dividend or split, reorganization,
            recapitalization, merger, consolidation, spin-off, combination or
            exchange of Shares or other corporate exchange, or any distribution
            to stockholders of Shares other than regular cash dividends, the
            Committee in its sole discretion and without liability to any person
            may make such substitution or adjustment, if any, as it deems to be
            equitable, as to (i) the number or kind of Shares or other
            securities issued or reserved for issuance pursuant to the Plan,
            (ii) the Purchase Price and/or (iii) any other affected terms of
            such Options.

      (b)   CHANGE IN CONTROL. In the event of a Change in Control, the
            Committee in its sole discretion and without liability to any person
            may take such actions, if any, as it deems necessary or desirable
            with respect to any Option as of the date of the consummation of the
            Change in Control.

14.   NONTRANSFERABILITY

      No Options granted under the Plan shall be transferable or assignable by
      the Participant otherwise than by will or by the laws of descent and
      distribution.

15.   NO RIGHT TO EMPLOYMENT

      The granting of an Option under the Plan shall impose no obligation on the
      Company or any Subsidiary to continue the employment of a Participant and
      shall not lessen or affect the Company's or Subsidiary's right to
      terminate the employment of such Participant.

16.   SECTION 423 OF THE CODE

      The Plan is intended to qualify as an "employee stock purchase plan"
      within the meaning of Section 423 of the Code or any successor section
      thereto. Accordingly, all Participants shall have the same rights and
      privileges under the Plan, subject to any exceptions that are permitted
      under Section 423(b)(5) of the Code. Any provision of the Plan that is
      inconsistent with Section 423 of the Code or any successor provision
      shall, without further act or amendment, be reformed to comply with the
      requirements of Section 423. This Section 16 shall take precedence over
      all other provisions in the Plan.


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17.   AMENDMENT OR TERMINATION OF THE PLAN

      The Plan shall continue until the earliest to occur of the following: (a)
      termination of the Plan by the Board, (b) issuance of all of the Shares
      reserved for issuance under the Plan, (c) June 30, 2008 or (d) failure to
      satisfy the conditions of Section 22 of the Plan. The Board may amend,
      alter or discontinue the Plan, but no amendment, alteration or
      discontinuation shall be made which, (a) without the approval of the
      stockholders of the Company, would (except as is provided in Section 13 of
      the Plan), increase the total number of Shares reserved for the purposes
      of the Plan or (b) without the consent of a Participant, would impair any
      of the rights or obligations under any Option theretofore granted to such
      Participant under the Plan; PROVIDED, HOWEVER, that the Committee may
      amend the Plan in such manner as it deems necessary to permit the granting
      of Options meeting the requirements of the Code or other applicable laws.

18.   TAX WITHHOLDING

      The Participant's employer shall have the right to withhold from such
      Participant such withholding taxes as may be required by federal, state,
      local or other law, or to otherwise require the Participant to pay such
      withholding taxes.

19.   INTERNATIONAL PARTICIPANTS

      With respect to Participants who reside or work outside the United States
      of America, the Committee may, in its sole discretion, amend the terms of
      the Plan or Awards with respect to such Participants in order to conform
      such terms to the requirements of local law.

20.   NOTICES

      All notices and other communications hereunder shall be in writing and
      hand delivered or mailed by registered or certified mail (return receipt
      requested) or sent by any means of electronic message transmission with
      delivery confirmed (by voice or otherwise) to the parties at the following
      addresses (or at such other addresses for a party as shall be specified by
      like notice) and will be deemed given on the date on which such notice is
      received:

                  IMS HEALTH Shared Business Services
                  861 Marcon Boulevard
                  Allentown, PA  18109
                  Fax (610) 231- 8221
                  Phone (610) 231- 8220

                  e-mail address:  payroll@imshealth.com


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21.   CHOICE OF LAW

      The Plan shall be governed by and construed in accordance with the laws of
      the State of New York applicable to contracts made and to be performed in
      the State of New York.

22.   EFFECTIVENESS OF THE PLAN

      The Plan shall become effective on the date on which it is adopted by the
      Board (the "Effective Date"); provided, however, that the Plan must be
      approved within twelve (12) months after the Effective Date by the
      stockholders of the Company. The Company may commence payroll deductions
      on behalf of Participants pursuant to the Plan prior to such stockholder
      approval; provided, however, that the use of such payroll deductions to
      purchase Shares pursuant to the exercise of Options hereunder is
      contingent upon stockholder approval of the Plan. If stockholder approval
      of the Plan is not obtained prior to the first Purchase Date, the Plan
      shall terminate and all amounts withheld through payroll deduction or held
      in a Participant's Payroll Deduction Account shall be returned to such
      Participant, without interest.


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