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Donnatal

Generic: Phenobarbital, Hyoscyamine, Atropine, Scopolamine

Manufacturer: Donnatal team (likely PBM Pharmaceuticals)  ·  Program: Donnatal Patient Assistance Program

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Eligibility Criteria

Insurance Requirement

See program details

Residency

US residency required

Financial assistance for customers unable to afford Donnatal; specific eligibility unknown

Program Information

Processing Time

2–8 weeks

Delivery Method

Varies by program

Application Method

Online

Indicated For

IBS, functional GI disorders

About This Medication

# Donnatal Patient Assistance Program: How to Get Your Medication at Low or No Cost ## About Donnatal **Donnatal** is a prescription medication that combines four active ingredients: phenobarbital, hyoscyamine sulfate, atropine sulfate, and scopolamine hydrobromide.[6] This combination medication is used to treat irritable bowel syndrome (IBS), spastic colon, mucous colitis, acute enterocolitis, and as adjunctive therapy for duodenal ulcers.[6] The medication works by providing anticholinergic, antispasmodic, and sedative effects that help relax the muscles in your stomach and intestines and slow down gut movements.[7] ## What is the Donnatal Patient Assistance Program? The **Donnatal Patient Assistance Program** is offered by Concordia Pharmaceuticals, Inc., the manufacturer of Donnatal.[4] This program is designed to help patients who cannot afford their Donnatal medication by providing financial assistance. The program ensures that cost is not a barrier to accessing the medication your doctor has prescribed for you.[4] ## Who Qualifies? The Donnatal Patient Assistance Program is available to customers who are unable to afford Donnatal due to financial hardship.[4] While specific income thresholds are not publicly detailed in available resources, the program is generally designed for uninsured and underinsured patients who demonstrate financial need. For reference, other patient assistance programs in the pharmaceutical industry typically use income guidelines based on federal poverty levels. If you're unsure whether you qualify, contacting the program directly is the best way to determine your eligibility. ## Insurance Requirements The Donnatal Patient Assistance Program may have specific requirements regarding your insurance status. Some patient assistance programs exclude Medicare recipients or have restrictions based on your current coverage.[1] It's important to review the program's specific rules before applying, as requirements can vary. If you have Medicare Part D coverage, you may also want to explore other cost-saving options, including: - **Medicare Extra Help/Low-Income Subsidy Program**: This federally funded program can reduce your out-of-pocket costs by limiting deductibles and copays if your income and assets fall below certain limits.[1] - **Medicare Prescription Payment Plan**: This program allows you to spread prescription costs over time if you have a standalone Part D plan or Medicare Advantage with prescription coverage.[1] - **State Pharmaceutical Assistance Programs**: Many states offer their own cost-saving programs for older adults and low-income residents.[1] ## How to Apply To apply for the Donnatal Patient Assistance Program, follow these steps: **Step 1: Gather Your Information** Before starting your application, have the following information ready: - Your personal identification and contact information - Proof of income (recent tax returns, pay stubs, or benefit statements) - Information about your current insurance coverage (if any) - Your prescription from your healthcare provider **Step 2: Contact the Program** Reach out to the Donnatal Patient Assistance Program to request an application. You can typically do this by: - Calling the program's phone line - Visiting the manufacturer's website - Having your healthcare provider submit the application on your behalf **Step 3: Complete the Application** Fill out all required sections of the application form completely and accurately. Incomplete applications may delay processing or result in denial. **Step 4: Submit Your Application** Submit your completed application along with any required supporting documents. Keep copies for your records. **Step 5: Await Approval** The program will review your application and notify you of the decision. Once approved, you'll receive instructions on how to obtain your medication. ## Timeline and Medication Delivery The specific processing timeline for the Donnatal Patient Assistance Program is not publicly documented. Processing times can vary depending on the completeness of your application and the program's current volume. Typically, patient assistance programs process applications within 2-4 weeks, but you should contact the program directly for more accurate timeframes. Once approved, your medication will be delivered according to the program's procedures. Some programs mail medications directly to your home, while others may coordinate with your pharmacy. ## What If Your Application Is Denied? If your application for the Donnatal Patient Assistance Program is denied, you have several alternatives: - **Ask why you were denied**: Contact the program to understand the specific reason for denial. You may be able to reapply if circumstances change. - **Explore other assistance programs**: Prescription Hope is a medication access service that helps patients obtain Donnatal for $60 per month (plus the medication cost) if you earn up to $50,000 annually as an individual or up to $70,000 for households.[3] - **Use prescription discount cards**: Services like SingleCare and LowerMyRx offer coupons that can save up to 80% on Donnatal at participating pharmacies.[7][8] - **Check state programs**: Your state may have its own pharmaceutical assistance program for low-income residents.[1] - **Talk to your doctor**: Your healthcare provider may have samples or know of other resources to help you access your medication. ## Reauthorization and Refills Information about reauthorization requirements and the refill process for the Donnatal Patient Assistance Program is not publicly available. Once you're enrolled in the program, the program administrator will provide you with specific instructions about: - How often you need to reauthorize your assistance - How to request refills - Any documentation you'll need to provide for continued eligibility Contact the program directly for details about maintaining your assistance. ## Important Disclaimer This guide provides general information about patient assistance programs for Donnatal. Program details, eligibility requirements, and procedures may change. For the most current and accurate information about the Donnatal Patient Assistance Program, contact the program directly or visit the manufacturer's website. Always consult with your healthcare provider before starting, stopping, or changing any medication. This information is not a substitute for professional medical advice.

Program information last verified: March 30, 2026

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