EXHIBIT 10.18

                                   EIGHTEENTH
                        AMENDMENT TO EMPLOYMENT AGREEMENT

     JOEL F. GEMUNDER ("Employee"), and OMNICARE MANAGEMENT COMPANY, a Delaware
corporation with its principal place of business in Covington, Kentucky (the
"Company"), hereby agree as follows:

     1. Recitals

     (a) The Company is an indirect subsidiary of Omnicare, Inc. as a result of
a corporate restructuring of Omnicare, Inc. and its affiliates.

     (b) In connection with such restructuring certain assets and liabilities of
Omnicare, Inc. were transferred to the Company effective December 31, 1988,
including an Employment Agreement between Omnicare, Inc. and Employee dated
August 4, 1988 (the "Employment Agreement").

     (c) The Company, as assignee, and Employee amended the Employment Agreement
by mutual written agreement on December 31, 1988, May 23, 1989, May 22, 1990,
May 21, 1991, May 19, 1992, May 17, 1993, May 16, 1994, May 15, 1995, May 20,
1996, May 19, 1997, May 18, 1998, March 3, 1999, February 25, 2000, March 1,
2000, March 1, 2001, February 6, 2002 and September 25, 2002 (the "Prior
Amendments").

     2. Amendments

     (a) Section 1.2 of the Employment Agreement is amended by deleting the year
"2007" from the third line of Section 1.2 and substituting the year "2008"
therefor.

     (b) The amount of unrestricted stock award recognized in lieu of incentive
compensation in 2002 is $2,064,482.

     3. General

     Except as previously changed by the Prior Amendments and as specifically
amended herein, the Employment Agreement will remain in full force and effect in
accordance with its original terms, conditions and provisions.

     IN WITNESS WHEREOF, the parties have duly executed this amendatory
agreement as of March 6, 2003.

                                                   OMNICARE MANAGEMENT COMPANY


/s/ Joel F. Gemunder                               By: /s/ Cheryl D. Hodges
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      JOEL F. GEMUNDER                                    Cheryl D. Hodges