That is an oversight! It should be only A - I've updated the instruction manual to reflect that. Also, fewer points is better (lower score is good!) so that's why you gain points when you use a pill.
So the goal is to make the fewest pills that let you win? That seems... counterintuitive.
Making fewer pills is actually harder than making more pills, and it means you have fewer pills to use for reshuffles, so it's an additional challeng to make the game harder if you want.
