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CONTACT:
Kara Stancell, Investor Relations & Corporate Communications, (602) 808-3854

           MEDICIS REPORTS FIRST QUARTER FISCAL 2005 FINANCIAL RESULTS

SCOTTSDALE,  Arizona--October 19, 2004--Medicis (NYSE:MRX) today announced first
quarter  fiscal 2005 net revenue  growth of  approximately  40% to $88.8 million
with  "if-converted"  net income of $21.2  million,  or $0.32 per diluted share,
absent a $19.4 million  tax-effected special charge associated with the SubQ(TM)
transaction.  Including  this special  charge,  the Company  reported  Generally
Accepted Accounting Principles ("GAAP") net income of $1.0 million, or $0.02 per
diluted  share.  In the first  quarter  of fiscal  2004,  Medicis  reported  net
revenues of $63.3 million with net income of $10.3 million, or $0.18 per diluted
share,  absent a $37.5  million  tax-effected  loss  associated  with the  early
extinguishment of debt.  Including the loss on early extinguishment of debt, the
Company reported a first quarter fiscal 2004 GAAP net loss of $27.2 million,  or
$0.50 per diluted share.

"We are pleased to announce a solid first quarter in line with our  expectations
as we begin our fiscal  2005  year,"  said Jonah  Shacknai,  Chairman  and Chief
Executive  Officer of Medicis.  "We continue to  concentrate  on  advancing  our
research and development  pipeline illustrated by our investment in SubQ(TM) and
the significant increase in research and development as a percentage of revenue.
Future  commitments will focus on proprietary  technologies  that we expect will
continue to add  shareholder  value and enhance our mission in helping  patients
attain a healthy and youthful appearance and self-image."

First  quarter  fiscal  2005  revenues  increased  primarily  due  to  sales  of
RESTYLANE(R)  and growth of  DYNACIN(R).  The  Company's  core  brands  include:
RESTYLANE(R),  DYNACIN(R),  LOPROX(R), OMNICEF(R),  PLEXION(R) and TRIAZ(R). The
Company recorded  contract  revenue of  approximately  $16 million for the first
quarter fiscal 2005.  Contract revenue includes license revenues associated with
the outlicensing of the ORAPRED(R) and LUSTRA(R) brands. Core brand revenues for
first quarter fiscal 2005  represented  approximately  75% of total revenue,  or
$67.0 million, an increase of approximately 26%, compared to core brand revenues
of $53.0  million for first  quarter  fiscal 2004.  The  Company's  gross profit
margins were 84.4%.

Selling,  general and  administrative  expenses for the first  quarter of fiscal
2005 decreased as a percentage of revenues approximately 11 percentage points to
$32.2  million,  or  approximately  36% of  revenues,  from  $30.0  million,  or
approximately  47% of revenues,  in first quarter  fiscal 2004. The $2.2 million
increase in selling,  general and  administrative  expenses primarily was due to
incremental  expenses associated with the RESTYLANE(R)  product. The decrease in
percentage of revenues  primarily was due to first quarter  fiscal 2005 revenues
outpacing the increase in selling, general and administrative spending. Research
and  development  expenses for the first quarter of fiscal 2005 increased 63% to
$5.8 million, or approximately 6%

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of revenues,  absent special charges, compared to $3.5 million, or approximately
6% of revenues, in first quarter fiscal 2004.

In May 2003, the Company's  Board of Directors  approved a new stock  repurchase
program that authorized the repurchase of up to $75 million of our common stock.
This program provided for the repurchase of Class A common stock at such time as
management  determined.  As of June 30, 2004,  Medicis had not  repurchased  any
shares of our common stock under this  program.  In August 2004,  the  Company's
Board of Directors approved a new program that replaces the May 2003 program and
authorizes  the  repurchase  of up to $150  million of our common  stock.  As of
September  30,  2004,  approximately  $66  million  of common  shares  have been
repurchased  under this program  (1,743,800  common shares at an average  market
price of $37.76).

Based upon information  available  currently to the Company and as result of the
first  quarter  fiscal 2005  results,  the  Company's  financial  guidance is as
follows:

                                Fiscal Year 2005
                              ending June 30, 2005
                     (in millions, except per share amounts)



                               First Quarter    Second Quarter      Third Quarter     Fourth Quarter      Fiscal Year
                                 (9/30/04)        (12/31/04)          (3/31/05)         (6/30/05)            2005
                                  Actual          Estimated           Estimated         Estimated          Estimated
                               -------------    --------------      -------------     --------------      -----------
                                                                                               
Current revenue
  objectives                       $89              $91                 $95                $100               $375

Previous EPS guidance*             $0.29            $0.35               $0.36              $0.42              $1.42

Current EPS objectives*            $0.32            $0.37               $0.38              $0.44              $1.51

Current EPS objectives,
  including EITF Issue
  04-8 impact of contingent
  convertible securities*          $0.30            $0.35               $0.36              $0.41              $1.42


*Excluding  tax-effected  special  charges  relating to research and development
collaborations  and including the  application of the  "if-converted"  method in
accordance with GAAP

First  quarter  fiscal 2005 diluted per share amounts are  calculated  using the
"if-converted"  method  of  accounting  in  accordance  with  GAAP  due  to  the
outstanding 2.5%  Convertible  Senior Notes meeting the criteria for conversion,
regardless of whether the bondholders  actually convert their bonds into shares.
For first quarter fiscal 2005, the dilutive  shares  relative to the convertible
notes do not impact GAAP earnings per share,  as they are  anti-dilutive.  First
quarter fiscal 2004 diluted per share amounts do not reflect the  "if-converted"
method, as the criteria for conversion had not been met.

At its June 30-July 1, 2004  meeting,  the Emerging  Issues Task Force  ("EITF")
began discussing Issue 04-8,  "Accounting  Issues Related to Certain Features of
Contingently Convertible Debt and the Effect on Diluted Earnings per Share," and
the accounting for contingently convertible debt instruments,  commonly referred
to as "CoCos." At its subsequent September 29-30, 2004 meeting, the EITF reached
a  conclusion  that  CoCos  should be  included  in diluted  earnings  per share
computations  (if  dilutive)  regardless of whether the market price trigger has
been met, effective for periods ending after December 15, 2004.

At the time of this disclosure, Medicis believes these objectives are attainable
based  upon  information  currently  available  to the  Company.  The  Company's
business is subject to all risk factors outlined in the

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Company's  most recent  annual  report on Form 10-K,  its Form S-3  registration
statement and other filed documents with the Securities and Exchange Commission.
At the time of this release, the Company cannot, among other things,  assess the
forthcoming  results of the Company's research and development  projects and the
risks  associated  with  the  FDA  approval   process,   risks  associated  with
significant  competition  within the  Company's  industry,  nor can the  Company
validate its  assumptions  of the full impact on its business of the approval of
competitive  generic  versions  of the  Company's  core  brands,  or any  future
competitive   product   approvals   that  may  affect  the   Company's   brands.
Additionally,  Medicis may acquire and/or license products or technologies  from
third  parties to enter into new  strategic  markets.  The Company  periodically
makes  up-front,  non-refundable  payments  to third  parties for  research  and
development  work which has been  completed and  periodically  makes  additional
non-refundable payments for the achievement of various milestones.  There can be
no certainty  which periods these  potential  payments could be made, nor if any
payments such as these will be made at all. The above estimated  future guidance
does not include the potential payments associated with any such transactions.

Medicis  is the  leading  independent  specialty  pharmaceutical  company in the
United  States  focusing  primarily  on  the  treatment  of  dermatological  and
podiatric  conditions  and  aesthetics  medicine.  The Company is  dedicated  to
helping  patients  attain a healthy  and  youthful  appearance  and  self-image.
Medicis has leading  branded  prescription  products in a number of  therapeutic
categories,  including acne,  eczema,  fungal  infections,  psoriasis,  rosacea,
seborrheic  dermatitis  and skin and  skin-structure  infections.  The Company's
products  have earned wide  acceptance  by both  physicians  and patients due to
their clinical effectiveness, high quality and cosmetic elegance.

The Company's products include the prescription brands RESTYLANE(R),  DYNACIN(R)
(minocycline HCl), LOPROX(R)  (ciclopirox),  OMNICEF(R)  (cefdinir),  PLEXION(R)
(sodium    sulfacetamide/sulfur),    TRIAZ(R)   (benzoyl   peroxide),   LIDEX(R)
(fluocinonide),  and SYNALAR(R) (fluocinolone  acetonide),  the over-the-counter
brand  ESOTERICA(R),  and BUPHENYL(R)  (sodium  phenylbutyrate),  a prescription
product indicated in the treatment of Urea Cycle Disorder.  For more information
about Medicis, please visit the Company's website at www.medicis.com.

Except for historical information,  this press release includes "forward-looking
statements"  within the meaning of the  Securities  Litigation  Reform Act.  All
statements  included in this press  release that address  activities,  events or
developments that Medicis expects,  believes or anticipates will or may occur in
the future are  forward-looking  statements.  This includes earnings  estimates,
future  financial  performance and other matters.  These statements are based on
certain  assumptions  made by Medicis based on its  experience and perception of
historical trends,  current  conditions,  expected future developments and other
factors it believes are  appropriate in the  circumstances.  Such statements are
subject to a number of assumptions,  risks and uncertainties,  many of which are
beyond the control of Medicis.  Any such  projections or statements  include the
current   views  of  Medicis  with  respect  to  future   events  and  financial
performance.  No assurances can be given,  however, that these events will occur
or that such results will be achieved.  Medicis cannot  validate its assumptions
of the full  impact on its  business  of the  approval  of  competitive  generic
versions of its core brands,  including DYNACIN(R) Tablets and/or LOPROX(R),  or
any future competitive product approvals that may affect its brands. Also, there
are a number of additional  important factors that could cause actual results to
differ  materially from those  projected,  including the anticipated size of the
markets,  the availability of product supply, the receipt of required regulatory
approvals,  the ability to realize  anticipated  synergies  and  benefits of the
Q-Med  transactions,  the  risks  and  uncertainties  normally  incident  to the
pharmaceutical industry, dependence on sales of key products, the uncertainty of
future financial  results and fluctuations in operating  results,  dependence on
Medicis'  strategy  including the  uncertainty of license  payments and/or other
payments  due  from  third  parties,  the  timing  and  success  of new  product
development by Medicis or third  parties,  product  introductions,  the risks of
pending or future  litigation,  and other risks  described  from time to time in
Medicis' SEC filings including its Annual Report on Form 10-K for the year ended
June 30, 2004. There can

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be no  assurance  as to when or if any of the holders of the Notes will have the
right to convert or if the Notes will be converted, and what impact the increase
in the number of shares  outstanding  will have on its  results  of  operations.
Forward-looking  statements  represent the judgment of Medicis' management as of
the date of this  release,  and Medicis  disclaims  any intent or  obligation to
update any forward-looking statements.

NOTE:  Full  prescribing  information  for any Medicis  prescription  product is
available by contacting  the Company.  OMNICEF(R)  is a registered  trademark of
Abbott Laboratories, Inc. under a license from Fujisawa Pharmaceutical Co., Ltd.
RESTYLANE(R)  is a  registered  trademark  of HA  North  American  Sales  AB,  a
subsidiary of Medicis  Pharmaceutical  Corporation.  All other marks (or brands)
and names are the property of Medicis or its Affiliates.


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                                     Medicis
                      (in thousands, except per share data)
                        SUMMARY STATEMENTS OF OPERATIONS
                                   (unaudited)



                                                                             Three Months Ended
                                                                               September 30,
                                                                ---------------------------------------------
                                                                        2004                   2003
                                                                ---------------------------------------------
                                                                                             
Revenues                                                                   $ 88,818                $ 63,295
Cost of sales                                                                13,833                  10,181
                                                                           --------                --------
    Gross profit                                                             74,985                  53,114
Operating expenses:
    Selling, general and administrative                                      32,176                  30,012
    Research and development                                                 36,513(a)                3,539
    Depreciation and amortization                                             5,032                   3,425
                                                                           --------                --------
           Total operating expenses                                          73,721                  36,976
Operating income                                                              1,264                  16,138
Interest expense, net                                                          (146)                   (278)
Loss on early extinguishment of debt                                             --                 (58,660)
Income tax (expense) benefit                                                    (95)                 15,636
                                                                           --------                --------
    Net income (loss)                                                       $ 1,023                $(27,164)
                                                                            =======                ========
Basic net income (loss) per common share                                      $0.02                  $(0.50)
                                                                              =====                  ======
Diluted net income (loss) per common share                                    $0.02                  $(0.50)
                                                                              =====                  ======
Shares used in basic net income (loss) per common share                      57,228                  54,595
Shares used in diluted net income (loss) per common share                    60,268                  54,595

Cash flow from operations                                                   $13,906                 $33,751

- -------------------------------------------------------------------------------------------------------------
GAAP Net income (loss)                                                       $1,023                $(27,164)
   Interest expense and associated bond offering costs
   (tax-effected)                                                               839(b)                   --
   Special charge for R&D (tax-effected)                                     19,372(a)                   --
   Loss on early extinguishment of debt (tax-effected)                           --                  37,474
                                                                           --------                --------
"If-converted" net income prior to special charge and
  loss on early extinguishment of debt                                     $ 21,234                $ 10,310
                                                                           ========                ========
         Shares used in diluted net income per common share                  66,091                  57,299
         Diluted net income per common share                                  $0.32                   $0.18
                                                                              =====                   =====
- -------------------------------------------------------------------------------------------------------------


(a) Reported  R&D  expenses  include a special  charge of $30.7  million  ($19.4
million tax-effected) relating to a research & development collaboration.

(b) To calculate  diluted  earnings per share,  tax-effected net interest on the
2.5% contingent convertible notes and associated bond offering costs of $839,000
is added back to GAAP net income for the three months ended  September 30, 2004,
and  divided by shares  used in diluted  net income per common  share.  For GAAP
diluted net income per common  share for the three months  ended  September  30,
2004, the dilutive shares relative to the convertible  notes are not included as
they are anti-dilutive.

                                 BALANCE SHEETS



                                                                At September 30, 2004    At June 30, 2004
                                                                ---------------------    ----------------
                                                                     (unaudited)
                                                                                         
Assets
  Cash, cash equivalents & short-term investments                         $587,099             $634,040
  Accounts receivable, net                                                  45,782               47,858
  Inventory, net                                                            19,622               19,540
  Other current assets                                                      30,688               32,425
                                                                        ----------           ----------
     Total current assets                                                  683,191              733,863
  Property and equipment, net                                                6,248                5,842
  Intangible assets, net                                                   327,247              331,144
  Deferred tax assets, net                                                   1,913                   --
  Other assets                                                               6,999                7,535
                                                                        ----------           ----------
     Total assets                                                       $1,025,598           $1,078,384
                                                                        ==========           ==========

Liabilities and stockholders' equity
  Current liabilities                                                      $71,617              $67,120
  Contingent convertible senior notes 2.5% due 2032                        169,155              169,157
  Contingent convertible senior notes 1.5% due 2033                        283,910              283,910
  Deferred tax liabilities                                                      --                2,894
  Stockholders' equity                                                     500,916              555,303
                                                                        ----------           ----------
     Total liabilities and stockholders' equity                         $1,025,598           $1,078,384
                                                                        ==========           ==========

Working capital                                                           $611,574             $666,743
                                                                          ========             ========


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