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Ranked #324 · Grade C

Cielo review

Florida-based platform selling only compounded semaglutide and tirzepatide at one price per dose, with headline rates that require a six-month prepaid plan.

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Semaglutide
$139/mo
Tirzepatide
$189/mo
Coverage
Multi-state
Brand-name
Compounded only

The scorecard

Cielo scored on our six published factors. See the methodology.

Real-world results70/100
Price honesty60/100
Prescriber access60/100
Formulary choice40/100
Cancellation fairness60/100
Member support70/100

What we like

  • Six-month plan rates of $89/mo semaglutide and $129/mo tirzepatide are among the lowest published in the category
  • Same price at every dose, stated verbatim as 'Same price any dose', so titration does not raise the bill
  • The asterisk on the headline price is explicit: '*With a 6-month plan. All doses.'
  • Month-to-month plans are genuinely available at $139 and $189, without prepayment
  • Corporate address in St. Petersburg, Florida and a customer service phone number are published

The caveats

  • Compounded semaglutide and tirzepatide are not FDA-approved finished products and have not been reviewed for safety, effectiveness or quality
  • The headline prices shown on the homepage are six-month prepaid rates, roughly 36 percent below the month-to-month price
  • No compounding pharmacy is named, only 'regulated FDA pharmacy partners'
  • No state coverage list is published, so all-50-state availability cannot be verified
  • Clinical care runs through MD Integrations, a third-party network shared with many other brands

The verdict

Best for: Buyers willing to prepay six months for some of the lowest compounded GLP-1 per-month rates available. Florida-based platform selling only compounded semaglutide and tirzepatide at one price per dose, with headline rates that require a six-month prepaid plan.

Ranked #324 of 499 providers we have reviewed — for comparison, read our ruling on CoreAge Rx, our #1 pick. On the board it sits between Luvo Health, 60/100 above and Aquivia Health at 60/100 below, with the Bliv ruling the next one down.

Cielo is one of 499 rulings on this board, which makes the fair next question who sits above it — our shortlist of Cielo alternatives answers it in order, with every score shown. We have also ruled on it directly: CoreAge Rx vs Cielo goes to CoreAge Rx, 94/100 to 60/100.

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Compare with other providers

All 498 other providers we've reviewed, in our overall ranking order.

Every other program we track (492)

Pricing, states and verification reflect Cielo's public disclosures at last review; the Verdict Score is our editorial judgment per the methodology. Prices change — confirm on Cielo's site. Not medical advice; see our disclosure.

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