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                      SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, DC 20549

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                                SCHEDULE 14D-9
                     SOLICITATION/RECOMMENDATION STATEMENT
                      PURSUANT TO SECTION 14(d)(4) OF THE
                        SECURITIES EXCHANGE ACT OF 1934

                              (AMENDMENT NO. 21)

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                              NEIGHBORCARE, INC.
                           (Name of Subject Company)

                             ----------------------

                              NEIGHBORCARE, INC.
                     (Name of Person(s) Filing Statement)

                    Common Stock, Par Value $0.02 Per Share
                   (including the Associated Series B Junior
                Participating Preferred Stock Purchase Rights)
                        (Title of Class of Securities)

                                  64015Y-10-4
                     (CUSIP Number of Class of Securities)

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                          John F. Gaither, Jr., Esq.
             Senior Vice President, General Counsel and Secretary
                              NeighborCare, Inc.
                       601 East Pratt Street, 3rd Floor
                              Baltimore, MD 21202
                                (410) 528-7404
  (Name, Address and Telephone Number of Person Authorized to Receive Notice
       and Communications on Behalf of the Person(s) Filing Statement)

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                                With copies to:

                               Mark Gordon, Esq.
                        Wachtell, Lipton, Rosen & Katz
                              51 West 52nd Street
                           New York, New York 10019
                                (212) 403-1000

[ ] Check the box if the filing relates solely to preliminary communications
made before the commencement of a tender offer.

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      The purpose of this amendment is to amend and supplement Items 3 and 4
in the Solicitation/Recommendation Statement on Schedule 14D-9 previously
filed by NeighborCare, Inc., a Pennsylvania corporation ("NeighborCare" or the
"Company") on June 14, 2004 (as thereafter amended, including by this amendment,
the "Schedule 14D-9").

ITEM 3.  PAST CONTACTS, TRANSACTIONS, NEGOTIATIONS AND AGREEMENTS.

Item 3 of the Schedule 14D-9 is hereby amended by adding the following at
the end thereof:

             CHANGE OF CONTROL SEVERANCE PAYMENTS.  No officers of NeighborCare
      are entitled to severance payments solely upon a change of control of
      the Company.  However, the officers are entitled to payments pursuant to
      their respective employment agreements (as described above) in the event
      they are terminated, or if they terminate their employment for good
      reason, following a change of control.  The following shows the amounts
      that would be payable to the officers in the event they are terminated
      following a change of control:

--------------------------------------------------------------------------
                                                    
                                                              TOTAL
        NAME                    POSITION                  SEVERANCE(1)
--------------------------------------------------------------------------
John J. Arlotta          Chairman, President and Chief    
                         Executive Officer                $3,600,000
John L. Kordash          Vice Chairman and Executive                      
                         Vice President                   $  550,000
John F. Gaither, Jr.     Senior Vice President and                        
                         General Counsel                  $  590,000
Robert A. Smith          Senior Vice President and                        
                         Chief Operating Officer          $  360,000
Richard W. Hunt          Senior Vice President and                        
                         Chief Financial Officer          $  520,000
--------------------------------------------------------------------------

TOTAL                                                     $5,620,000
--------------------------------------------------------------------------

 (1) Under their respective employment agreements, the executives
 are entitled to be "grossed up" for excise taxes under Section 4999
 of the Internal Revenue Code of 1986, as amended (if any), such
 that the effect of such excise taxes, if any, is not borne by the
 executive.  The amounts in this column reflect the net amounts that
 the executive would receive after giving effect to such gross-ups
 and related excise taxes, if any, but before any income tax or
 other applicable tax.
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Item 3 of the Schedule 14d-9 is hereby further amended by adding the
following disclosure at the end of the section entitled "Certain Effects
of the $34.75 Offer and Merger":

             VALUE OF OPTIONS.  Our directors and executive officers hold or
      beneficially own options to purchase Shares.  In the merger, these
      options will be cancelled in exchange for a cash payment equal to the
      difference between the $34.75 per share transaction price and the
      relevant exercise price of the option, multiplied by the number of
      Shares subject to the relevant option.  The following shows the
      aggregate amounts to be received in the merger by the Company's
      directors and executive officers in respect of their options:

                    -------------------------------------
                    Robert H. Fish           $ 8,684,926
                    (Director)
                    James D. Dondero                     
                    (Director)               $ 1,020,989
                    James H. Bloem                       
                    (Director)               $ 1,020,989
                    James E. Dalton, Jr.                 
                    (Director)               $ 1,020,989
                    Dr. Philip P. Gerbino
                    (Director)               $    75,443
                    Arthur J. Reimers            
                    (Director)               $      None
                    Phyliss R. Yale              
                    (Director)               $      None






                    John J. Arlotta          $14,760,000
                    John L. Kordash          $ 3,312,500
                    John F. Gaither, Jr.     $ 1,987,500
                    Robert A. Smith          $ 1,159,375
                    Richard W. Hunt          $      None
                    -------------------------------------
                    All Directors and                    
                    Executive Officers                   
                    as a Group :             $33,042,710
                    -------------------------------------


ITEM 4.  THE SOLICITATION OR RECOMMENDATION.

The second bullet point in factor (i) of Item 4(c) of the Schedule 14d-9 is
hereby amended to read in its entirety as follows:

     o    That, based on an analysis of the current trading ranges of comparable
          companies and upon other factors (including matters referred to in
          factor (vi) below), the $34.75 offer price represents a substantial
          premium to the likely unaffected trading ranges for the Shares that
          would be likely to prevail at the present time in the absence of the
          Offer. The Board considered this analysis of likely current unaffected
          trading ranges because the Board noted that there had been no
          unaffected trading in the Shares for more than 14 months to use as a
          basis for comparison.

Factor (vi) of Item 4(c) of the Schedule 14d-9 is hereby amended to read 
in its entirety as follows:

    (vi)  The Board's view that despite its  confidence in management and in
          NeighborCare's ongoing value-creation initiatives and marketplace 
          opportunities, NeighborCare  would  continue to face a number of risks
          and uncertainties that could adversely affect both its short-term 
          and long-term prospects, including: 

          o   the risks and uncertainties created by the Omnicare tender offer;

          o   and risks and uncertainties associated with the industry in which
              NeighborCare operates, including risks associated with regulatory
              change.

          In this regard, the Board was advised that very preliminary analysis
          from management of the results of operations for the fiscal quarter
          ended June 30, 2005 indicated that NeighborCare's fiscal year 2005
          earnings per share could be up to 10% lower than the earnings per 
          share reflected in management's projections.  Due to the timing and 
          preliminary nature of this information, management has not made a 
          determination to change its projections.



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                                  SIGNATURE

      After due inquiry and to the best of my knowledge and belief, I certify
that the information set forth in this amendment is true, complete and
correct.

                                         NEIGHBORCARE, INC.


                                         By: /s/ John F. Gaither, Jr.    
                                            ----------------------------
                                            John F. Gaither, Jr.
                                            Senior Vice President,
                                            General Counsel and Secretary

                                         Dated:  July 26, 2005











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