So they Were All Coked to the Gills?

I was aware that there was a Presidential physician, as well as some sort of a clinic in the White House, but I was unaware of the existence of a White House pharmacy, and that they were handing out Ambien and Provigil to staffers like it was candy.

The fact that they were all abusing puppy uppers (Provigil) and doggie downers (Ambien) to create an illusion of normalcy says a lot:

The White House has its own pharmacy that, until recently, could perhaps best be described as a hot mess, according to a recent investigation report from the Department of Defense’s Office of the Inspector General.

For years, the White House Medical Unit, run by the White House Military Office, provided the full scope of pharmaceutical services to senior officials and staff—it stored, inventoried, prescribed, dispensed, and disposed of prescription medications, including opioids and sleep medications. However, it was not staffed by a licensed pharmacist or pharmacy support staff, nor was it credentialed by any outside agency.

The operations of this pseudo-pharmacy went as well as one might expect, according to the DoD OIG's alarming investigation report. The investigation was prompted by complaints in May 2018 alleging that an unnamed "senior military medical officer" was engaged in "improper medical practices." This resulted in the OIG's investigation, which included 70 interviews of Military Office officials who worked in the White House between 2009 and 2018 and covers the office's activity until early 2020. However, the investigation heavily focused on prescription drug records and care between 2017 and 2019 during the Trump administration.

During that time, staff at the White House pharmacy kept handwritten records of prescriptions, the OIG found. The records frequently contained errors in medication counts, illegible text, and crossed-out text and lacked medical provider and mandatory patient information. The pharmacy let White House staff pick up over-the-counter drugs from open bins, in violation of Navy medical regulations. It didn't dispose of controlled substances properly, increasing the risk of diversion. Staff provided prescriptions without verifying patients' identities and provided prescriptions to people who were ineligible for care. And it dispensed pricey brand-name products freely, rather than generic equivalents that are considerably cheaper—also a violation of regulations.

In one interview, a White House pharmacy staff member said an unnamed doctor asked "if I could hook up this person with some Provigil as a parting gift for leaving the White House."

Provigil is a drug that treats excessive tiredness and is typically used for patients with narcolepsy, sleep apnea, and other sleep disorders. Brand-name Provigil is 55 times more expensive than the generic equivalent. Between 2017 and 2019, the White House pharmacy spent an estimated $98,000 for Provigil. In that same timeframe, it also spent an estimated $46,500 for Ambien, a prescription sedative, which is 174 times more expensive than the generic equivalent. Even further, the White House Medical Unit spent an additional $100,000 above generic drug cost by having Walter Reed National Military Medical Center fill brand-name prescriptions.

(emphasis mine)

If I were working for Donald Trump, I'd probably need to abuse drugs too.