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Exhibit 4.2.4

CARDINAL HEALTH, INC.

Officer’s Certificate

     Pursuant to Section 2.3 and 2.4 of the Indenture dated as of April 18, 1997 (the “Indenture”) between Cardinal Health, Inc. (the “Company”) and Bank One, N.A. (formerly known as Bank One, Columbus, N.A.), as Trustee (the “Trustee”), the undersigned officers of the Company do hereby certify as follows in connection with the issuance of the Company’s 4.00% Notes due 2015 (the “Securities”) under the Indenture:

          1. All conditions precedent under the Indenture to the issuance and authentication of the Securities and the delivery of the Securities to the Company have been complied with.

          2. The undersigned have read the conditions referred to in paragraph 1 above.

          3. The statements of the undersigned contained herein are based upon their participation in the issuance of the Securities and a review of the Indenture.

          4. Each of the undersigned has made such examination or investigation as is necessary in the undersigned’s opinion to enable the undersigned to express an informed opinion as to whether the conditions referred to in paragraph 1 above have been complied with.

          5. The terms of the Securities are as follows:

               Title: 4.00% Notes due 2015

               Limit of aggregate principal amount: U.S. $500,000,000

               Maturity Date: June 15, 2015

               Interest: 4.00% per annum

	Interest Payment			December 15 and June 15, commencing
	Dates:			December 15, 2003

		Record Dates:		June 1 and December 1
		Interest Accrues    From:		June 17, 2003
		Optional Redemption:		The Notes will be redeemable, in whole or, from time to time, in part, at the option of the Company at any time, at a redemption price equal to the greater of:
				(1) 100% of the principal amount of the Notes to be redeemed, or
				(2) as determined by a Quotation Agent, the sum of the present values of the remaining scheduled payments of principal and interest thereon (exclusive of interest accrued to the date of redemption) discounted to the date of redemption on a semiannual basis (assuming a 360-day year consisting of twelve 30-day months) at the Adjusted Treasury Rate plus 15 basis points,
				plus, in each case, accrued and unpaid interest on the amount being redeemed to the date of redemption.

          Each capitalized term used but not defined herein shall have the meaning assigned thereto in the Indenture or the Note.

Dated: June 17, 2003