Bliv vs Cielo
Cielo costs $1 less a month, and both sell semaglutide and tirzepatide.
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
If you are choosing between Bliv and Cielo, the first difference is cost: Cielo is $1 a month cheaper at the entry price. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Cielo leads our six-part score, 7.7 to 5.9. One of the two has an FDA warning letter on record, covered below.
Bliv vs Cielo price
Cielo is the cheaper way in: $115 a month against $116 a month at Bliv. That is $1 less each month (1% lower), or about $12 over a year of treatment.
Drug by drug: Semaglutide is cheaper at Cielo ($115 a month vs $116 a month); tirzepatide is cheaper at Cielo ($180 a month vs $199 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format they match: each offers compounded injections.
Where each one treats patients
Neither Bliv nor Cielo publishes the states it serves, so enter your state at the very start of each sign-up.
Pricing
Bliv
Bliv advertises semaglutide at 'as low as $116 per month.'
Bliv advertises its GLP-1/GIP option at 'as low as $199 per month.'
Cielo
What each price covers
Both prices cover the medication itself and shipping.
Bliv is silent on the clinician visit, lab work and coaching.
Cielo is silent on the clinician visit, lab work and coaching.
Bliv
Covered by the monthly price
Medication
In the price
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Cielo
Covered by the monthly price
Medication
In the price
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Cielo scores 7.7 and Bliv 5.9 out of 10.
Cielo is stronger on value (8.4 vs 3.0) and trust & safety (6.5 vs 3.5).
Effectiveness, user experience, accessibility and support are within half a point.
Bliv
5.9/10
Cielo
7.7/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent Bliv a warning letter dated February 20, 2026 (letter 721479), and it is still open.
Cielo has no FDA warning letter on record with us.
Features & Coverage
| Feature | Bliv | Cielo |
|---|---|---|
| Starting Price | $116/mo | ✓$115/mo |
| Features | 3 features | ✓8 features |
| States Available | Not disclosed | Not disclosed |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | — | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | 1 letter | ✓None |
About Bliv
Bliv is a telehealth seller built around personalized GLP-1 weight loss programs.
Read our full Bliv review →About Cielo
Cielo starts semaglutide at $115/month and tirzepatide at $180/month on a 3-month bundle, flat at every dose. It carries compounded GLP-1s only: no brand-name drugs, no TRT, hair or mental-health add-ons, which makes it a focused, single-purpose alternative to multi-vertical sellers. Clinical care is delivered through MD Integrations.
Read our full Cielo review →Pros & Cons
Bliv
What we like
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication and shipping
Watch-outs
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- The FDA has issued Bliv a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Cielo
What we like
- Semaglutide costs $115 a month, 38% below the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $180 a month, 28% below the $250 median for compounded tirzepatide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication and shipping
- We found no FDA warning letters issued to Cielo
Watch-outs
- Confirm it serves your state before you start the intake
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Cielo wins this one, 7.7 to 5.9, above all for semaglutide at $115/month, 39% below the typical price. It also costs $1 less each month than Bliv. Bliv fits better if seeing what it charges before you answer any medical questions is your priority.
Choose Bliv if…
You want seeing what it charges before you answer any medical questions and an opening price near $116 a month.
Choose Cielo if…
You want semaglutide at $115/month, 39% below the typical price and an opening price near $115 a month.
Ready to start? GLP-1 providers we have vetted
Telehealth providers, vetted by us, prescribing GLP-1 online.
Vetted by our editors · no insurance required
Some of the links on this page earn us money. If you sign up with a provider after following one, that provider may pay GLP Watchdog a commission. Learn more
Embody
Knowing which pharmacy fills the vial: it names RedRock Pharmacy
From $79/mo
Get started →YourEra
Semaglutide at $99/month, 63% below the typical price
From $99/mo
Get started →Gala
Moving between compounded and brand without changing seller
From $149/mo
Get started →Bliv vs Cielo: FAQ
Close alternatives to Bliv and Cielo
- Bliv vs Elara Health and Wellness
- Bliv vs Mondae
- Bliv vs Trava Health
- Cielo vs Mondae
- Cielo vs Elara Health and Wellness
- Cielo vs Trava Health
Or see the full category ranking.