Extension No. 1, dated November 3, 2018 to the Second Amended and Restated Executive Employment Agreement, entered into on February 25, 2014, by and between Mylan Inc. and Heather Bresch

Reference is made to the Second Amended and Restated Executive Employment Agreement, entered into on February 25, 2014 and effective as of January 1, 2014 (the “Agreement”), by and between you and Mylan Inc. The parties hereto acknowledge and agree that the Term of Employment as set forth in Section 2 of the Agreement shall be extended to April 1, 2019. All other provisions of the Agreement, as modified by the foregoing, shall remain in full force and effect.