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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. 10)

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

                               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)

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

                              John F. Gaither, 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)

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

                                 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 4 and 9 in the
Solicitation/Recommendation Statement on Schedule 14D-9 previously filed by
NeighborCare, Inc., a Pennsylvania corporation, on June 14, 2004, as thereafter
amended.


Item 4.            THE SOLICITATION OR RECOMMENDATION.

Item 4(b) is hereby amended by the addition of the following text:

     On October 7, 2004, the Board received the following letter from Mr.
     Gemunder, the text of which was included in Amendment No. 13 to the
     Schedule TO filed by Omnicare, Inc. on June 4, 2004:

                         [LETTERHEAD OF OMNICARE, INC.]
      
      
                                        October 7, 2004
      
     BY FACSIMILE AND FEDEX

     Board of Directors
     NeighborCare, Inc.
     601 East Pratt Street, 3rd Floor
     Baltimore, Maryland 21202

     Dear NeighborCare Board Members:


     We are writing to let you know that Omnicare remains committed to a
     combination of Omnicare and NeighborCare. We continue to believe that a
     combination of Omnicare and NeighborCare is compelling and will provide
     substantial benefits to both companies' shareholders and other interested
     constituencies. For NeighborCare shareholders, the tender offer provides a
     unique opportunity to realize maximum value immediately for their shares.
     Judging by the response to our tender offer by your shareholders, they
     agree. We believe that the time has come for you to sit down and discuss
     our offer with us.

     We wish to reiterate our willingness to discuss all aspects of our offer
     with you. We and our advisors are available to meet with you, your
     management and your advisors as soon as possible to discuss the terms of
     our offer and to negotiate a definitive agreement. We hope you will
     recognize the benefits of our offer and accept this invitation.



                                        Sincerely,

                                        /S/ JOEL F. GEMUNDER
                                        Joel F. Gemunder
                                        President and Chief Executive Officer





         On October 7, 2004, we issued the following press release in response
to Mr. Germunder's letter:

     FOR IMMEDIATE RELEASE

     Investor Contact:                           Media Contact:
     -----------------                           -------------
     Tania Almond                                Dan Gagnier / Alex Eule
     Investor Relations                          Citigate Sard Verbinnen
     410-528-7555                                212-687-8080

                          NEIGHBORCARE ISSUES STATEMENT

     BALTIMORE, MD - October 7, 2004 - NeighborCare, Inc. (NASDAQ: NCRX) today
     confirmed it has received a letter from Omnicare proposing a meeting with
     NeighborCare to discuss Omnicare's (NYSE: OCR) unsolicited tender offer.

     Following a meeting of NeighborCare's Board of Directors, John J. Arlotta,
     NeighborCare's Chairman, President, and Chief Executive Officer, said: "The
     NeighborCare Board does not believe that further discussions, beyond those
     held previously, would be productive. NeighborCare has rejected Omnicare's
     offer three times and nothing has changed. The Board continues to believe
     that implementing our business plan is the best option for NeighborCare,
     its shareholders, customers and other constituents."

     ABOUT NEIGHBORCARE,  INC.  
     NeighborCare,   Inc.  (NASDAQ:   NCRX)  is  one  of  the  nation's  leading
     institutional pharmacy providers serving long term care and skilled nursing
     facilities,   specialty   hospitals,   assisted  and   independent   living
     communities, and other assorted group settings.  NeighborCare also provides
     infusion therapy  services,  home medical  equipment,  respiratory  therapy
     services, community-based retail pharmacies and group purchasing. In total,
     NeighborCare's   operations  span  the  nation,   providing  pharmaceutical
     services in 32 states and the District of Columbia.

     Visit our website at www.neighborcare.com.

     STATEMENTS MADE IN THIS PRESS RELEASE,  OUR WEBSITE AND IN OUR OTHER PUBLIC
     FILINGS   AND   RELEASES,   WHICH   ARE  NOT   HISTORICAL   FACTS   CONTAIN
     "FORWARD-LOOKING"  STATEMENTS (AS DEFINED IN THE FEDERAL  SECURITIES  LAWS)
     THAT INVOLVE RISKS AND UNCERTAINTIES AND ARE SUBJECT TO CHANGE AT ANY TIME.
     THESE  FORWARD-LOOKING  STATEMENTS  MAY  INCLUDE,  BUT ARE NOT  LIMITED TO,
     STATEMENTS  CONTAINING  WORDS  SUCH  AS  "ANTICIPATE,"  "BELIEVE,"  "PLAN,"
     "ESTIMATE,"  "EXPECT," "INTEND," "MAY",  "TARGET" AND SIMILAR  EXPRESSIONS.
     SUCH FORWARD LOOKING STATEMENTS  INCLUDE,  WITHOUT  LIMITATION,  STATEMENTS
     REGARDING THE EFFECT OF THE SPIN-OFF ON OUR OPERATIONS, EXPECTED CHANGES IN
     REIMBURSEMENT  RATES AND  INFLATIONARY  INCREASES IN STATE MEDICAID  RATES,
     EXPECTED  BED  COUNT,  EXPECTED  SG&A  EXPENSE,  ANTICIPATED  RESTRUCTURING
     CHARGES  AND  ESTIMATES  OF  TIMING  AND  COSTS  SAVINGS  RELATED  TO  COST
     IMPROVEMENT INITIATIVES.  FACTORS THAT COULD CAUSE ACTUAL RESULTS TO DIFFER
     MATERIALLY INCLUDE,  BUT ARE NOT LIMITED TO, THE FOLLOWING:  COSTS, CHANGES
     IN THE REIMBURSEMENT RATES OR METHODS OF PAYMENT FROM MEDICARE OR MEDICAID,
     OR THE  IMPLEMENTATION  OF OTHER MEASURES TO REDUCE  REIMBURSEMENT  FOR OUR
     SERVICES;  CHANGES  IN  PHARMACY  LEGISLATION  AND  PAYMENT  FORMULAS;  THE
     EXPIRATION  OF  ENACTMENTS  PROVIDING FOR  ADDITIONAL  GOVERNMENT  FUNDING;
     EFFORTS OF THIRD PARTY PAYORS TO CONTROL  COSTS;  THE IMPACT OF FEDERAL AND
     STATE REGULATIONS; CHANGES IN PAYOR MIX AND PAYMENT METHODOLOGIES;  FURTHER
     CONSOLIDATION OF MANAGED CARE  ORGANIZATIONS  AND OTHER THIRD PARTY PAYORS;
     COMPETITION IN OUR BUSINESS;  AN INCREASE IN INSURANCE  COSTS AND POTENTIAL
     LIABILITY  FOR LOSSES  NOT  COVERED  BY, OR IN EXCESS  OF,  OUR  INSURANCE;
     COMPETITION FOR QUALIFIED STAFF IN THE HEALTHCARE INDUSTRY;  OUR ABILITY TO
     CONTROL  OPERATING  COSTS,  AND  GENERATE  SUFFICIENT  CASH  FLOW  TO  MEET
     OPERATIONAL AND FINANCIAL REQUIREMENTS; AND AN ECONOMIC DOWNTURN OR CHANGES
     IN THE LAWS AFFECTING OUR BUSINESS IN THOSE MARKETS IN WHICH


                                      -2-





     NEIGHBORCARE  OPERATES.  OUR BUSINESS,  OPERATIONS OR RESULTS COULD ALSO BE
     AFFECTED AS A RESULT OF  OMNICARE'S  TENDER  OFFER OR ITS  PENDENCY AND THE
     EFFECTS THEREOF ON THE COMPANY AND ITS BUSINESS,  EMPLOYEES,  CUSTOMERS AND
     SUPPLIERS.

     THE   FORWARD-LOOKING   STATEMENTS   INVOLVE   KNOWN  AND  UNKNOWN   RISKS,
     UNCERTAINTIES  AND  OTHER  FACTORS  THAT ARE,  IN SOME  CASES,  BEYOND  OUR
     CONTROL. WE CAUTION INVESTORS THAT ANY  FORWARD-LOOKING  STATEMENTS MADE BY
     US ARE NOT GUARANTEES OF FUTURE PERFORMANCE.  WE DISCLAIM ANY OBLIGATION TO
     UPDATE  ANY  SUCH  FACTORS  OR TO  ANNOUNCE  PUBLICLY  THE  RESULTS  OF ANY
     REVISIONS TO ANY OF THE FORWARD-LOOKING STATEMENTS TO REFLECT FUTURE EVENTS
     OR DEVELOPMENTS.

     NEIGHBORCARE HAS FILED A SOLICITATION/RECOMMENDATION  STATEMENT ON SCHEDULE
     14D-9 REGARDING  OMNICARE'S TENDER OFFER.  NEIGHBORCARE'S  SHAREHOLDERS ARE
     STRONGLY      ADVISED      TO      READ      CAREFULLY       NEIGHBORCARE'S
     SOLICITATION/RECOMMENDATION   STATEMENT   (INCLUDING   ANY   AMENDMENTS  OR
     SUPPLEMENTS)   REGARDING  OMNICARE'S  TENDER  OFFER,  BECAUSE  IT  CONTAINS
     IMPORTANT  INFORMATION.  FREE  COPIES  OF  THE  SOLICITATION/RECOMMENDATION
     STATEMENT AND THE RELATED AMENDMENTS OR SUPPLEMENTS,  WHICH HAVE BEEN FILED
     BY NEIGHBORCARE WITH THE SECURITIES AND EXCHANGE COMMISSION,  ARE AVAILABLE
     AT THE SEC'S WEB SITE AT WWW.SEC.GOV,  OR AT THE NEIGHBORCARE'S WEB SITE AT
     WWW.NEIGHBORCARE.COM,  AND ALSO BY  DIRECTING  REQUESTS  TO  NEIGHBORCARE'S
     INFORMATION AGENT, MACKENZIE PARTNERS, INC., AT 1-800-322-2885.

                                      # # #



ITEM 9.            EXHIBITS.

Exhibit No.        Description
------------------ -------------------------------------------------------------

  (a)(22)          Letter, dated October 7, 2004, to NeighborCare employees

  (a)(23)          Press Release, dated October 7, 2004


                                      -3-





                                    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:  October 7, 2004


                                      -4-





                                INDEX OF EXHIBITS

Exhibit No.        Description
------------------ -------------------------------------------------------------

  (a)(22)          Letter, dated October 7, 2004, to NeighborCare employees

  (a)(23)          Press Release, dated October 7, 2004


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