AMENDED AND RESTATED AMENDMENT AGREEMENT

Exhibit 10.3

AMENDED AND RESTATED AMENDMENT AGREEMENT

THIS AMENDED AND RESTATED AMENDMENT AGREEMENT (this “A&R Amendment”) is made as of September 14, 2011, between Goldman, Sachs & Co. (“Dealer”) and Mylan Inc. (“Counterparty”).

WHEREAS, following the effectiveness of a Novation Transaction dated September 8, 2011, Dealer and Counterparty are parties to a Confirmation dated as of September 9, 2008, as amended, restated, supplemented or otherwise modified from time to time (the “Confirmation”) evidencing an OTC Warrant Transaction (GS Transaction Reference No SDB4165189652);

WHEREAS, the parties have entered into an amendment to the Confirmation earlier on the date hereof (the “First September 14 Amendment”);

WHEREAS, the parties hereby wish to amend and restate the First September 14 Amendment in its entirety to replace the Schedule A attached thereto with the Schedule A attached hereto;

WHEREAS, the parties wish to amend the Confirmation on the terms and conditions set forth in this A&R Amendment; and

NOW, THEREFORE, in consideration of their mutual covenants herein contained, the parties hereto agree as follows:

Section 1. Terms Used but Not Defined Herein. Terms used but not defined herein shall have the respective meanings given to them in the Confirmation.

Section 2. Amendment to the Confirmation.

Section 3. Amendment Premium. In consideration for the amended Strike Price in Section 2, Counterparty agrees to pay to Dealer the Amendment Premium on the Amendment Premium Payment Date as set forth below.

Section 4. Valuation Disruption.

Section 5. Regulatory Disruption. In the event that Dealer concludes, in its sole reasonable discretion based on the advice of counsel, that it is appropriate with respect to any legal, regulatory or self-regulatory requirements or related policies and procedures (whether or not such requirements, policies or procedures are imposed by law or have been voluntarily adopted by Dealer), for it to refrain from or decrease any market activity during the Amendment Period, Dealer may by notice to Counterparty elect to deem that a Market Disruption Event has occurred and will be continuing.

Section 6. Representations and Warranties. Counterparty represents and warrants to Dealer as follows:

Section 7. Covenants. Counterparty (or any “affiliated purchaser” as defined in Rule 10b-18 under the Exchange Act (“Rule 10b-18”)) shall not, without the prior written consent of Dealer, directly or indirectly purchase any Shares (including by means of a derivative instrument), listed contracts on the Shares or securities that are convertible into, or exchangeable or exercisable for Shares (including, without limitation, any Rule 10b-18 purchases of blocks (as defined in Rule 10b-18)) during the Amendment Period except through Dealer.

Section 8. Effectiveness. This A&R Amendment shall become effective upon execution by the parties hereto.

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Section 9. Counterparts. This A&R Amendment may be signed in any number of counterparts, each of which shall be an original, with the same effect as if all of the signatures thereto and hereto were upon the same instrument.

Section 10. Governing Law. This A&R Amendment shall be governed by the laws of the State of New York (without reference to its choice of law doctrine, other than Title 14 of the New York General Obligations Law).

Section 11. Effectiveness of Confirmation. Except as amended hereby, all the terms of the Confirmation shall remain and continue in full force and effect and are hereby confirmed in all respects.

Section 12. Amendment and Restatement. This A&R Amendment amends and restates the First September 14 Amendment in its entirety, and upon execution of this A&R Amendment the First September 14 Amendment shall be of no force or effect.

[SIGNATURE PAGE FOLLOWS]

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IN WITNESS WHEREOF, the parties have signed this A&R Amendment as of the date and year first above written.

Signature Page to Amended and Restated Amendment to Strike Price dated September 14, 2011

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SCHEDULE B

[FORM OF TRADE NOTIFICATION]

TRADE NOTIFICATION

The purpose of this Trade Notification is to notify you of certain terms in the Amendment transaction entered into between Goldman, Sachs & Co. (“Dealer”) and Mylan Inc. (“Counterparty”) (together, the “Contracting Parties”) bearing the trade reference number set forth above.

This Trade Notification supplements, forms part of, and is subject to the Amended and Restated Amendment Agreement dated as of [Insert Date] (the “Amendment Agreement”) between the Contracting Parties.

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