1 Exhibit 12.1 NCS HEALTHCARE, INC. Ratio of Earnings to Fixed Changes For the Period Ended June 30, 1992 1993 1994 1995 1996 .1997 ---- ---- ---- ---- ---- ----- Pretax net income $1,349 $1,509 $2,861 $3,404 4,208 19,927 Total fixed charges as calculated below 275 632 684 1,289 2,680 1,972 Less capitalized interest during the -- -- -- -- -- (50) period Less preferred stock dividend -- -- -- -- -- -- ------- ------- ------ ------ ---- requirement Adjusted earnings $ 1,624 $ 2,141 $3,545 $4,693 $6,888 $21,849 ======= ======= ====== ====== ====== ======= Interest (expensed) 108 428 525 1,089 2,282 1,143 Interest (capitalized) -- -- -- -- -- 50 Amortization of debt expense -- Amortization of debt discount or -- -- -- -- -- -- premium Interest portion of rent expense 167 204 159 200 398 779 ------- ------- ------ ------ ---- Adjusted fixed charges $275 $632 $684 $ 1,289 $ 2,680 $1,972 ======= ======= ====== ====== ====== ======= Ratio of earnings to fixed charges 5.9lx 3.39x 5.18x 3.64x 2.57x 11.08% ======= ======= ====== ====== ====== =======