One number, two components
Evernow is the clearest case in this dataset: a $49 membership that sits inside its own $49 recurring charge. The guide records the stated amount and marks it as included, so a reader can see what portion of the charge is access rather than medicine.
It is never added a second time. The recurring charge is the total the buyer pays, and the membership is a label on part of it.
Why the distinction survives the ranking
The score's terms component rewards a membership that is stated as a number, including an explicit $0. It does not reward a lower-looking medication price created by moving the same money into a different column.