Cielo review
Cielo lists semaglutide at $139 a month and tirzepatide at $189. The cheaper six-month rates require a longer plan; neither crossed-out price confirms your future bill.
- Pricing grade
- CCaveat
- Monthly price
- $139/mo
- semaglutide
- Price comparison
- See every price ↓
- FDA warning letter
- Not checked
Pricing transparency · How we grade · How we verify prices
- Coverage not verified
The verdict
Cielo makes comparing its two drug menus straightforward. Its longer-plan discounts deserve a written billing and refund explanation before you commit, particularly if your treatment may change.
What it is
Cielo offers compounded semaglutide and tirzepatide through an online care pathway. Its product pages describe personalized dosing, clinical oversight and expedited shipping. A clinician still decides whether prescribing is appropriate.
The terms identify MD Integrations as the provider network. That is useful information about the care arrangement, but it does not identify which pharmacy will dispense your particular prescription. Ask for the pharmacy and formulation before accepting treatment.
Every price we found at Cielo
| Plan | Advertised | Published price |
|---|---|---|
| semaglutide, six-month planSix-month quoted rate; ask for the amount due today and future payment dates. | $89/month quoted rate; six-month plan | Payment schedule and upfront amount unconfirmed |
| tirzepatide, six-month planSix-month quoted rate; ask for the amount due today and future payment dates. | $129/month quoted rate; six-month plan | Payment schedule and upfront amount unconfirmed |
What it actually costs at Cielo
Semaglutide is advertised at $139 for the monthly plan; tirzepatide is $189. The six-month plans quote $89/month and $129/month respectively, but their payment schedule and total collected upfront are unconfirmed. Those rates are not flexible monthly purchases.
The site says the price stays the same at any dose and includes clinical oversight and free expedited shipping. Confirm the amount collected today, whether the longer plan is prepaid, and what happens if a clinician switches your medication.
The reviewed terms discuss SMS opt-out but do not establish a medication cancellation deadline or a prepaid refund calculation. Stopping texts is not proof that billing has stopped. Crossed-out regular prices also do not establish a scheduled renewal increase. Before choosing the longer plan, use the early-exit reconciliation questions to request Cielo’s own written calculation; another seller’s rule does not establish its refund terms.
Who it's wrong for
- Someone choosing the six-month headline while needing flexibility after one month.
- Someone who needs a confirmed pharmacy, refund deadline and future charge before entering payment details.
Common questions
Does Cielo have a monthly plan?
Yes. The reviewed semaglutide and tirzepatide pages separately list monthly plans at $139 and $189.
What buys the lowest displayed rate?
The six-month plans quote $89/month for semaglutide and $129/month for tirzepatide. Monthly collection is unconfirmed; ask for the actual upfront charge, payment schedule and early-cancellation terms.
Does increasing the dose change the price?
The product pages advertise the same price at any dose. Get confirmation that this applies to your selected plan and any later medication change.
Who handles prescribing?
The terms name MD Integrations as the provider network. Prescribing remains subject to clinician review.
Is shipping included?
The reviewed product pages advertise free expedited shipping. They do not guarantee a particular delivery date for your prescription.
Can I stop billing by texting STOP?
The terms use STOP for SMS opt-out. The reviewed pages did not establish that it cancels a medication order or subscription.
Why we gave Cielo a C
Read the full grading rationale
Cielo publishes monthly and longer-plan rates for both compounded drugs, but the reviewed terms do not settle medication cancellation, prepaid refunds or the rate after a promotional offer. This grades cost disclosure, not clinical quality.
Read the evidence
How we reviewed Cielo
Read the official semaglutide and tirzepatide plan menus on October 6, 2026, keeping monthly plans separate from six-month offers.
Read the terms for provider identity and billing conditions. No intake was completed, prescription obtained or pharmacy independently verified.
Where each price comes from
- Semaglutide page
Monthly Plan $139/Month
- Tirzepatide page
Monthly Plan $189/Month
Alternatives to Cielo
| Provider | Grade | Published price context |
|---|---|---|
| Fresh Day Meds | BMinor gap | From $140/mo for semaglutide |
| Idgie Health | BMinor gap | From $134/mo for semaglutide microdose |
| CLYR Health | BMinor gap | From $130/mo for semaglutide |
| BioGlow Health | BMinor gap | From $129/mo for semaglutide |
| Bioverse | CCaveat | From $129/mo for semaglutide |