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Ranked #264 of 537 · Grade C

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…

Visit Cielo Or see your best match We may earn a commission if you start care through some of these links, at no extra cost to you. What we write about a provider is the same either way, providers we have a commercial relationship with are listed first on most boards, and every Match Score is computed from the six published factor sub-scores regardless. See our disclosure.

Semaglutide here is $141/mo — $58 below our category median of $199.

Semaglutide
$141/mo
Tirzepatide
$192/mo
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 #264 pick of 537 — priced at or below the category median.

The factor breakdown

Cielo on the six Match Score factors — the same sub-scores the quiz reweights to your priorities. See the methodology.

Budget Fit71/100

Semaglutide from $141/mo puts Budget Fit at a below-par 71 — above the budget tiers.

Speed to Start62/100

Limited or undisclosed state coverage can slow your start, for a below-par 62 on Speed to Start.

Formulary Match79/100

Cielo adds brand-name access on top of injectables, for a middling 79 on Formulary Match.

Support Level76/100

Support lands at a middling 76 — lighter, meds-first support.

Flexibility20/100

Flexibility scores a below-par 20 — fewer levers to flex your plan.

Transparency72/100

Thinner public disclosure than the top of the ranking keeps Transparency at a below-par 72.

Pricing in context

How Cielo's monthly price sits against the category median and the cheapest provider we track.

Monthly priceSemaglutideTirzepatide
Cielothis providerVisit $141/mo$58 vs median$192/mo$82 vs median
Category median430 tracked$199/mo$274/mo
Cheapest trackedMondaeVisit $87 per 28 days (13 charges a year)$126 per 28 days (13 charges a year)

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

Cielo is for 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 SkinnyRx (Match Score 64) — or take the quiz to see where Cielo lands for your priorities.

See every alternative to Cielo.

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 comparesCielothis providerCoreAge Rxour #1Boston Medical Groupclosest scorer
Sema price$141/mo$99/mo at every dose$325/mo
CoverageCoverage not publishedAll 50 states7 states
FormularyInjectable + brandInjectableInjectable
Match Score63 · C91 · A−63 · C

Cielo, answered

Is Cielo legit?

Cielo is a real, operating GLP-1 telehealth program. LegitScript certification is the third-party check worth asking for — look for the seal on their site and confirm your prescriber is US-licensed at intake. Like most programs here it dispenses compounded GLP-1s, which are made by a licensed pharmacy but aren't FDA-approved.

How much does Cielo cost?

Cielo lists compounded semaglutide from $141/mo and tirzepatide from $192/mo — below our category median of $199/mo. These are the provider's public figures at our last review (August 2026); confirm on their site, since some teaser tiers step up after month one.

Does Cielo ship to my state?

Cielo doesn't publish a full state list, so confirm your state is covered during intake before you pay.

Cielo vs SkinnyRx — which should I pick?

They score within a few points of each other: Cielo at 63/100 and SkinnyRx at 64/100, so neither wins on the headline number. Cielo is the better fit for people who want flat-rate compounded GLP-1 at the lowest 3-month bundle prices. SkinnyRx suits shoppers who want a tablet as well as an injection on either molecule, and who read the term attached to an advertised rate before they read the number. Run the quiz and the weighting shifts to whichever of those matters more to you.

Pricing & state data last verified August 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.

Verdict · Grade C · 63/100

Semaglutide here is $141/mo — $58 below our category median of $199. Tirzepatide is $192/mo. Its strongest suit is the range of medication it offers. Best suited to people who want flat-rate compounded GLP-1 at the lowest 3-month bundle prices. If that is not you, SkinnyRx is the closest thing to it here.

Compare with other providers

Our next-best picks in default ranking order, then the 24 programs that sit nearest Cielo here.

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Cielo is ranked on our best semaglutide providers, best tirzepatide providers, best GLP-1 programs and best brand-name GLP-1 providers boards, scored on the same six factors as every other provider there.

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