QuickLinks -- Click here to rapidly navigate through this document

Exhibit 12.1

NeighborCare, Inc.
Ratio of Earnings to Fixed Charges

		Successor					Predecessor
		Fiscal Year Ended September 30,
		2004		2003	2002		2001	2000
Earnings
	Income from continuing operations before income taxes and equity earnings	(2,717	)	1,908	(6,440	)	920,964	(174,490	)
	Equity in earnings of >50% owned affiliates	503		360	179		873	703
	Adjusted pre-tax income (loss) from continuing operations	(3,220	)	1,548	(6,619	)	920,091	(175,193	)
	Fixed charges	19,018		14,358	17,186		45,188	61,491
	Earnings from continuing operations before fixed charges	15,798		15,906	10,567		965,279	(113,702	)
Fixed charges
	Interest expense	19,018		14,358	17,186		45,188	61,491
	Total fixed charges	19,018		14,358	17,186		45,188	61,491
Ratio of earnings to fixed charges		*		1.11	*		21.36	*

*

For the fiscal years ended September 30, 2004, 2002, and 2000, our earnings were insufficient to cover fixed charges by $3.2 million, $6.6 million and $175.2 million, respectively.

Note: The Ratio of Earnings to Fixed Charges should be read in conjunction with the Consolidated Financial Statements and Management's Discussion and Analysis of Financial Condition and Results of Operations in this Form 10-K.

QuickLinks

NeighborCare, Inc. Ratio of Earnings to Fixed Charges