Cielo review
Cielo is a compounded-GLP-1-only telehealth platform offering semaglutide and tirzepatide with no brand-name drugs and no TRT, hair, or mental-health add-ons — a focused, single-purpose alternative to…
- Scores never bought
- 497 providers tracked
- Every factor auditable
- Updated July 2026
Cielo earns a Match Score of 64/100 (grade C) and sits #212 of 497 on our board under the balanced default weighting.
- Semaglutide
- $149/mo (all doses, compounded)
- Tirzepatide
- $249/mo (all doses, compounded)
- Coverage
- Coverage not published
- Brand-name
- Yes
- Oral option
- Injectable only
- Verification
- Not independently listed
Best for: People who want flat-rate compounded GLP-1 at the lowest 3-month bundle prices.
MatchScript's take: Our #212 pick of 497 — priced at or below the category median, scored on the same six factors as everyone else.
The factor breakdown
Cielo on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.
Semaglutide from $149/mo (all doses, compounded) puts Budget Fit at a below-par 74 — above the budget tiers.
Limited or undisclosed state coverage can slow your start, for a below-par 62 on Speed to Start.
Cielo adds brand-name access on top of injectables, for a middling 79 on Formulary Match.
Support lands at a middling 76 — lighter, meds-first support.
Flexibility scores a below-par 20 — fewer levers to flex your plan.
Disclosure here is thinner than the top of the board give a below-par 72 on Transparency.
Pricing in context
How Cielo's monthly price sits against the category median and the cheapest provider we track.
What we like
- Among the lowest 3-month bundle prices in compounded GLP-1 ($115/mo semaglutide)
- Single flat price across all doses simplifies titration planning
- Corporate address (St. Petersburg, FL) and customer-service phone published
The caveats
- No LegitScript, NABP .pharmacy, or HIPAA badge on the home page
- Pharmacy partner not named (only 'regulated FDA pharmacy partners')
- State coverage list not published — can't verify all-50-state availability
- Clinical care runs through MD Integrations, a shared third-party network used by many brands
- No brand-name Wegovy or Zepbound option
Who it's for — and who should skip it
Choose Cielo if people who want flat-rate compounded GLP-1 at the lowest 3-month bundle prices.
Skip it if that doesn't sound like you. A closer fit may be AVARA Rx (Match Score 64) — or take the quiz to see where Cielo lands for your priorities.
How it compares to CoreAge Rx & the closest scorer
Cielo against our #1 overall pick and the provider that scores closest to it. Green marks the row leader.
| How it compares | Cielothis provider | CoreAge Rxour #1 | AVARA Rxclosest scorer |
|---|---|---|---|
| Sema price | $149/mo (all doses, compounded) | $149/mo | $229/mo (starting dose, compounded) |
| Coverage | Coverage not published | All 50 states | All 50 states |
| Formulary | Injectable + brand | Injectable | Injectable + brand |
| Match Score | 64 · C | 91 · A− | 64 · C |
Cielo, answered
Is Cielo legit?
Cielo is a real, operating GLP-1 telehealth program, but we don't find it on the LegitScript registry, so it carries less third-party verification than the certified providers on our board. It dispenses compounded medication, which isn't FDA-approved. Vet the prescriber and pharmacy before you commit.
How much does Cielo cost?
Cielo lists compounded semaglutide from $149/mo (all doses, compounded) and tirzepatide from $249/mo (all doses, compounded) — below our category median of $179/mo. These are the provider's public figures at our last review (July 2026); confirm on their site, since some teaser tiers step up after month one.
Does Cielo ship to my state?
Cielo operates in a limited set of states (Coverage not published). If yours isn't on that list, you'll need a nationwide provider instead.
Cielo vs CoreAge Rx — which is better?
Both are on our board. Cielo scores 64/100; CoreAge Rx leads our default ranking at 91/100 for its flat nationwide pricing on both molecules and easy cancellation. Cielo can still win for you if its strengths match your priorities — best for: People who want flat-rate compounded GLP-1 at the lowest 3-month bundle prices. Run the quiz to see which comes out ahead for you.
Pricing & state data last verified July 2026 from Cielo's public site and our master provider matrix. The Match Score and its sub-scores are our editorial judgment per the methodology. Commercial facts only — prices change, so confirm on Cielo's site. Not medical advice; see our disclosure.
Cielo earns a Match Score of 64/100 (grade C) and sits #212 of 497 on our board under the balanced default weighting. Cielo is a compounded-GLP-1-only telehealth platform offering semaglutide and tirzepatide with no brand-name drugs and no TRT, hair, or mental-health add-ons — a focused, single-purpose alternative to… Best for: People who want flat-rate compounded GLP-1 at the lowest 3-month bundle prices. If it isn't the right fit, AVARA Rx is a sensible alternative to weigh next.
Compare with other providers
Our next-best picks in default ranking order, then the 24 programs that sit nearest Cielo on the board.
- #1Match91/ 100CoreAge RxThe best all-around match: nationwide access, both molecules at one flat, no-surprise price, and an easy exit.91/100
- #2Match88/ 100Strut HealthThe only program here carrying both LegitScript and ACHC accreditation, with an oral lozenge route on both molecules at the cheapest entry on this board.88/100
- #3Match86/ 100HealthRXA LegitScript-certified, physician-supervised program with a rare oral GLP-1 tablet alongside injectables — both molecules, transparent no-insurance pricing, and a brand-name path.86/100
- #4Match86/ 100ShedRxA weight-focused program that also offers an oral/sublingual route for the needle-averse.86/100
- #5Match88/ 100Ondra HealthNear rock-bottom pricing on both molecules plus some brand access — a rare budget-and-breadth combo, nationwide.88/100
Compare 24 nearby providersHide them
| Provider | Tirzepatide price | Coverage | Alternatives | Go | ||
|---|---|---|---|---|---|---|
| Clinic Secret#213 | 64 | $196/mo (starting dose, compounded) | $196/mo (compounded) | Coverage not published | Alternatives | Visit |
| Cost Plus Drugs#214 | 64 | $279/mo (brand Ozempic) | Not disclosed | All 50 states | Alternatives | Visit |
| Curve#215 | 64 | $175/mo (compounded) | $225/mo (compounded) | All 50 states | Alternatives | Visit |
| ElixaMD#216 | 64 | $179/mo (starting dose, first-month rate, compounded) | Not disclosed | Coverage not published | Alternatives | Visit |
| Eloria#217 | 64 | $179/mo (starting dose, plus a separate fee, compounded) | Not disclosed | Coverage not published | Alternatives | Visit |
| Fierce Health#218 | 64 | $297/mo (3-month plan, compounded) | $497/mo (3-month plan, compounded) | 30 states | Alternatives | Visit |
| GetRelief Rx#219 | 64 | $269/mo (9 mg dose, compounded oral) | $179/mo (16 mg dose, compounded oral) | Coverage not published | Alternatives | Visit |
| Heva Health#220 | 64 | $149/mo (compounded) | Not disclosed | Coverage not published | Alternatives | Visit |
| InstaRX#221 | 64 | $199/mo (starting dose, compounded) | $199/mo (starting dose, compounded) | All 50 states | Alternatives | Visit |
| Intimate Rose#222 | 64 | $169/mo (all doses, compounded) | $169/mo (all doses, compounded) | Coverage not published | Alternatives | Visit |
| Lumen Meds#223 | 64 | Not disclosed | $196/mo (compounded) | Coverage not published | Alternatives | Visit |
| Luvo Health#224 | 64 | $249/mo (compounded) | $339/mo (compounded) | Coverage not published | Alternatives | Visit |
| Medro#225 | 64 | $199/mo (compounded) | $299/mo (compounded) | All 50 states | Alternatives | Visit |
| Nirwana Health#226 | 64 | $149/mo (compounded) | $229/mo (compounded) | Coverage not published | Alternatives | Visit |
| OnlyRx#227 | 64 | $179/mo (starting dose, promotional rate, compounded) | $249/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| PepHaūs#228 | 64 | $152/mo (quarterly plan, compounded) | $246/mo (compounded) | All 50 states | Alternatives | Visit |
| RxPros#229 | 64 | $100/mo (annual plan, compounded) | $145/mo (annual plan, compounded) | Coverage not published | Alternatives | Visit |
| Tell Her Doc#230 | 64 | $269/mo (microdose tier, plus a separate fee, compounded) | Not disclosed | All 50 states | Alternatives | Visit |
| Tuyo Health#231 | 64 | $155/mo | $279/mo | Coverage not published | Alternatives | Visit |
| Velvet Rx#232 | 64 | $299/mo (compounded) | $359/mo (compounded) | Coverage not published | Alternatives | Visit |
| Arc-1#233 | 63 | $200/mo (0.5 mg dose, compounded) | $200/mo (2.5 mg dose, compounded) | Coverage not published | Alternatives | Visit |
| AskRx#234 | 63 | $349/mo (all doses, brand-name) | $299/mo (2.5 mg dose, brand-name) | All 50 states | Alternatives | Visit |
| BloomWell Rx#235 | 63 | $199/mo (starting dose, compounded) | $249/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |
| boostAGErx#236 | 63 | $95/mo (starting dose, compounded) | $95/mo (starting dose, compounded) | Coverage not published | Alternatives | Visit |