Cielo Review
Semaglutide & tirzepatide GLP-1 weight-loss telehealth · Independently scored 7.8/10
Best for: a flat-priced compounded GLP-1 from $139 a month with no contract
Cielo scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability. It charges from $84 a month, paid up front; its compounded semaglutide, at $139, is 30% below the $199 median among the sellers we compare.
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charged as a multi-month plan up front
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Prices checked October 2026
Cielo sells only compounded semaglutide and tirzepatide, priced the same whatever the dose. The monthly plan costs $139 for semaglutide and $189 for tirzepatide. A 12-month plan lowers that to $84 and $119 a month, though the site never says how the longer plans are billed. Care runs through MD Integrations, and consults and shipping are free.
Is Cielo legit?
Yes. Cielo is a real, operating US company, and we found no FDA warning letters issued to it. We rate it 7.8/10 overall, across six areas from price to trust and safety. Legitimate is not the same as right for you, though: that part is a decision for you and a licensed clinician.
Is there a Cielo promo or coupon code?
We know of no promo or coupon code for Cielo. Its listed price is $84 a month. Coupon sites advertising "Cielo discount codes" are not a source we can vouch for, and any genuine offer shows at checkout without a code.
See how Cielo compares on our rankings of the best semaglutide providers and the best tirzepatide providers.
Vetted alternatives to Cielo
Collective
Best for: flat any-dose pricing, if you can absorb a $199 annual membership on top
Editorial score · methodology
Embody
Best for: a flat compounded tirzepatide or semaglutide price at every dose, from a seller that names its pharmacies
Editorial score · methodology
Luvo Health
Best for: moving between compounded and brand without changing seller
Editorial score · methodology
Cielo at a glance
- Type
- GLP-1 telehealth provider
- Medications
- Semaglutide, Tirzepatide
- Starting price
- $84/mo
- Pricing model
- Flat: the price stays the same as the dose goes up
- What's included
- Medication · Shipping · Consult
- FDA status
- No FDA warning letters found
How Cielo scores
Six columns, each one computed from something Cielo has published rather than from an opinion we formed: what it charges, which molecules it will dispense, what its record shows, and what the monthly figure actually buys. Where a seller keeps something back, such as its price or its pharmacy, the score reflects it. Every seller we review goes through the same six columns.
Value25%
7.6/10$139/month is 30% below the $199 median for compounded semaglutide across the sellers we compare. A cheaper plan paid several months up front is also listed.
Effectiveness25%
10.0/10Dispenses semaglutide and tirzepatide, compounded only. Anchored to SURMOUNT-1 (tirzepatide, -20.9%) and STEP 1 (semaglutide, -14.9%).
User Experience15%
8.0/10A price is shown before the questionnaire starts.
Trust & Safety15%
6.5/10No pharmacy is named for its prescriptions. It shows a price before asking for health information.
Accessibility10%
5.0/10No state list is available to check, so this is held at the midpoint rather than scored on reach.
Support10%
7.0/10The price covers the medication, clinician visits and shipping.
A seller that shows no price until after the medical intake loses points on User Experience and Trust & Safety, and its review says so. How we score →
What we checked on Cielo
Last checked October 2026- Checked the listed price across 8 dose or plan tiers
- Checked what the monthly price covers, and what it leaves out
- Checked FDA warning letters for Cielo
Price, availability, and compliance here are read off the seller's own pages and off primary regulatory records, named in the sources below.
What signing up with Cielo involves
What to expect on the way to a prescription: where the price appears, who fills the medication, and what the monthly price covers. It is not medical advice, and a clinician makes the prescribing decision.
- 1Cielo shows a price on its own site before asking anything about you, so you can compare it with other sellers before you start a questionnaire.
- 2Ask Cielo which pharmacy fills the prescription before you pay. The pharmacy's name is what lets you check its license.
- 3The monthly price includes the medication, clinician visits and shipping.
- Lowest ongoing monthly price: semaglutide $84, tirzepatide $119. That leaves out membership fees, first-month rates and insurance copays.
- Confirm that Cielo serves your state before you start.
- The medication is compounded, so it is not an FDA-approved product and has not been reviewed by the agency for safety, effectiveness or manufacturing quality.
Contacting Cielo
- Phone
- (727) 607-7548
- Cielo offers email support
Cancelling Cielo
Taken from the terms Cielo publishes. Terms change, so check the current policy before you subscribe.
- Cancel any time
- Yes
- Minimum commitment
- None stated; longer plans are offered at lower monthly rates
- Refund policy
- Medication already shipped is not refunded
Medications Cielo lists
Cielo lists compounded semaglutide and compounded tirzepatide. Each one has its own guide: how it works, the dosing schedule, the side effects that show up in practice, and what the trials measured.
Pricing
Prices re-verified
The 12-month plan is charged as one $1,008 payment at checkout.
The 6-month plan is charged as one $534 payment at checkout.
The 3-month plan is charged as one $297 payment at checkout.
The 12-month plan is charged as one $1,428 payment at checkout.
The 6-month plan is charged as one $774 payment at checkout.
The 3-month plan is charged as one $447 payment at checkout.
Check the price yourself before you pay
Every figure here comes from Cielo's own website, as of the date shown. Sellers move prices without announcing it, and promotional rates lapse, so confirm the standing cost on their site before committing.
In its favor
- Semaglutide costs $139 a month, 30% below the $199 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $189 a month, 30% below the $269 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, clinician visits and shipping
- We found no FDA warning letters issued to Cielo
Against it
- 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
What Cielo charges
Cielo charges $84/month, and holds that rate across every dose. Flat dose pricing matters more than it sounds: on a tiered plan the bill grows with the dose, so the figure that got you to sign up is not the one you end up paying.
- Compounded semaglutide (12-month plan): $84/month
- Compounded semaglutide (6-month plan): $89/month
- Compounded semaglutide (3-month plan): $99/month
- Compounded semaglutide (monthly): $139/month
- Compounded tirzepatide (12-month plan): $119/month
- Compounded tirzepatide (6-month plan): $129/month
For compounded semaglutide, the median across the sellers we compare is $199/month, so Cielo's $139 is genuinely below the middle, not just advertised that way. Some of Cielo's plans are paid several months up front, so read the terms you agree to at checkout before you choose a longer one. For scale, the dearest tenth of compounded sellers charges about three times the cheapest tenth.
altRX, at about $89/month, is the closest like-for-like alternative we review.
What Cielo dispenses
Cielo prescribes semaglutide (approved as Wegovy and Ozempic) and tirzepatide (approved as Zepbound and Mounjaro). Between them these are the two molecules with the largest published weight-loss trial programs behind them. The medication is compounded rather than dispensed as an approved pen. Compounding serves real clinical needs and is entirely lawful; what it is not is reviewed, and the cost difference reflects that. For what differs besides the price, see compounded semaglutide vs Ozempic and Wegovy.
Safety and disclosure
Cielo tells you its price before you start the medical questionnaire. We found no FDA warning letters issued to Cielo. Because the medication is compounded, the most useful question to ask at intake is which licensed pharmacy fills the prescription. If Cielo will not tell you, treat that as a warning sign. Once you have the pharmacy's name, 503A vs 503B explains which regulator oversees it and how to check. How we weigh oversight, disclosure and price is set out in our scoring methodology.
Who should look elsewhere
- You want the FDA-approved pen specifically. Everything listed here is compounded.
- You need insurance to cover the cost. Check whether Cielo bills your plan before you start.
It fits if
- the lowest standing monthly cost is what you are solving for
- you want the price to stop moving as your dose climbs
Our read
Cielo competes on price without an obvious sacrifice elsewhere: $139/month for compounded semaglutide, no FDA warning letters.
The Bottom Line
Cielo scores highest on the clinical side (which drugs it prescribes and how it doses) and lowest on availability. It charges from $84 a month, paid up front; its compounded semaglutide, at $139, is 30% below the $199 median among the sellers we compare.
Before you pay Cielo
Starting at $84 a month. Check today's price, then start the intake.
Where Cielo is the wrong choice
No seller suits every reader, and pretending otherwise is the easiest way to sell one. On these three counts, another seller does better.
- If you need the FDA-approved pen rather than a compounded vial, consider WellMedRx.
- If the standing monthly cost is what decides it, consider Collective (from $59/mo + membership).
- If you want a human checking in, not just a prescription, consider Eden.
If none of these fits, our guide to alternatives to Cielo sets more sellers in the same category beside Cielo on price, states and what the price includes.
Frequently Asked Questions
How to check Cielo yourself
Glossary
The words sellers use, defined. Tap any term.
- Semaglutide · Drugs and brands
- Tirzepatide · Drugs and brands
- Compounded GLP-1 · Pharmacy and drug forms
- 503A pharmacy · Pharmacy and drug forms
- PCAB accreditation · Pharmacy and drug forms
- Prior authorization (PA) · Insurance and regulatory
- Off-label use · Insurance and regulatory
- FDA Drug Shortage List · Insurance and regulatory
Sources
Cited across this Cielo review: primary regulatory filings, and peer-reviewed studies.
Sources & methodology — as of October 2026
- 1.GLP Watchdog — GLP-1 Pricing Index 2026 (our independent dataset)— GLP Watchdog.
- 2.FDA — Compounding and the 503A Pharmacy Framework— U.S. Food & Drug Administration.
- 3.FDA — Drug Shortages Database (current shortage listings)— U.S. Food & Drug Administration.
- 4.PCAB — Pharmacy Compounding Accreditation Board Standards— Accreditation Commission for Health Care (ACHC) / PCAB.
- 5.KFF — Medicaid coverage research (anti-obesity & GLP-1 drug policy)— Kaiser Family Foundation.
- 6.STEP 1 Trial — Once-Weekly Semaglutide in Adults with Overweight or Obesity (Wilding JPH et al.)— New England Journal of Medicine.PMID: 33567185.
- 7.FDA — Wegovy (semaglutide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 8.FDA — Ozempic (semaglutide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 9.SURMOUNT-1 Trial — Tirzepatide Once Weekly for the Treatment of Obesity (Jastreboff AM et al.)— New England Journal of Medicine.PMID: 35658024.
- 10.FDA — Zepbound (tirzepatide) Approval History via Drugs@FDA— U.S. Food & Drug Administration.
- 11.FDA — Mounjaro (tirzepatide) Prescribing Information via Drugs@FDA— U.S. Food & Drug Administration.
- 12.SURMOUNT-5 Trial — Tirzepatide vs. Semaglutide Head-to-Head in Obesity (Aronne LJ et al.)— New England Journal of Medicine.PMID: 40353578.
See Cielo's current pricing
Plans start at $84 a month. Whether you qualify is a clinician's decision, made after your intake.