Alternatives
Alternatives to Cielo
Cielo scores 66/100 on our Cost-Efficiency Index . Here are other programs to consider, each scored the same way. Partners are listed first.
Cielo at a glance
- Semaglutide
- $139/moAll doses, monthly plan, compounded; $99/mo on a 3-month plan, $89/mo on 6 months, $84/mo on 12 months
- Tirzepatide
- $189/moAll doses, monthly plan, compounded; $149/mo on a 3-month plan, $129/mo on 6 months, $119/mo on 12 months
- Coverage
- Coverage not published
- Brand-name GLP-1s
- No, compounded only
- Oral option
- No
- Pricing verified
- October 2026
2 of the 8 programs below list semaglutide for less than Cielo's $139 a month. 3 of the 8 list tirzepatide for less than its $189 a month.
Cielo is a compounded-GLP-1 telehealth service with one price at every dose: $139 a month for semaglutide and $189 for tirzepatide on the monthly plan, and less on 3-, 6- and 12-month plans.
Best for: Shoppers who want one price at every dose and can choose between a monthly plan and cheaper 3-, 6- or 12-month plans.
What Cielo does well
- Flat pricing regardless of dose for both semaglutide and tirzepatide, avoiding per-mg price escalation during titration
- Free physician consult and free shipping stated as included
- Claims 'Every batch tested', at least asserting quality-control testing exists
- Transparent about the regular (non-promo) comparison price ($199/$299) rather than hiding it
Why readers look for an alternative
- The 3-, 6- and 12-month plans don't say whether they're paid up front or billed monthly, so ask before you pick one
- Compounded semaglutide and tirzepatide only, with no brand-name option
- The site doesn't name its pharmacy, medical director or prescribers
- No states-served list is published
- No LegitScript certification or COA/lab documentation shown, despite the 'Every batch tested' claim
- Partner01A94/ 100Index
CoreAge Rx
CoreAge Rx charges one flat price at every dose, $99 a month for semaglutide and $149 for tirzepatide, with no membership fee.
- Sema
- $99/mo
- Tirz
- $149/mo
- Coverage
- All 50 states
- Brand
- Compounded
Compared with Cielo: $40/mo less for semaglutide · $40/mo less for tirzepatide
- 02C67/ 100Index
Tablet Health
Tablet Health sells compounded semaglutide at $139.99 a month and tirzepatide at $199.99 after a cheaper first month, as weekly injections or daily pills, with lower per-month prices on 3- and 6-month plans.
- Sema
- $139.99/moMonth-to-month after an $89.99 first month; $349.99 for 3 months, compounded
- Tirz
- $199.99/moMonth-to-month after a $129.99 first month; $499.99 for 3 months, compounded
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Cielo: $0.99/mo more for semaglutide · $10.99/mo more for tirzepatide · offers an oral option
- 03C67/ 100Index
Iron Med RX
Iron Med Rx is a Dallas-based telehealth clinic bundling GLP-1 weight loss with peptides, men's/women's health, and NAD+ programs, advertising an entry price of $149 with free shipping and no insurance required.
- Sema
- $149/moStarting price, compounded; confirm plan term
- Tirz
- $149/moStarting price, compounded; confirm plan term
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Cielo: $10/mo more for semaglutide · $40/mo less for tirzepatide · offers an oral option
- 04C67/ 100Index
Fierce Health
Fierce Health sells standard compounded semaglutide and tirzepatide on monthly or prepaid plans, plus separate lower-dose programs; current monthly sale prices are $199 and $299.
- Sema
- $199/moMonthly plan, sale price, compounded
- Tirz
- $299/moMonthly plan, sale price, compounded
- Coverage
- 30 states
- Brand
- Compounded
Compared with Cielo: $60/mo more for semaglutide · $110/mo more for tirzepatide
- 05C67/ 100Index
Genesis Health
Genesis Health offers compounded GLP-1 plans with public monthly prices and lower rates when several months are prepaid.
- Sema
- $175/moBilled monthly, compounded; lower quarterly, six-month and annual prepay rates
- Tirz
- $225/moBilled monthly, compounded; lower quarterly, six-month and annual prepay rates
- Coverage
- Multi-state
- Brand
- Yes
Compared with Cielo: $36/mo more for semaglutide · $36/mo more for tirzepatide · also lists brand-name GLP-1s
Regulatory note: the FDA issued a warning letter to Genesis Health International Inc. dba Genesis in February 2026. We still list and link to Genesis Health; you should know the letter is on the public record before you decide.
- 06C67/ 100Index
Actin
Actin is a multi-condition telehealth platform that sells compounded semaglutide and tirzepatide at published one-, three- and six-month rates with no membership fee, prescribed through Beluga Health and filled by three named pharmacies.
- Sema
- $169/moMonth-to-month (compounded; $143/mo on a 3-month plan, $116/mo on a 6-month plan; no membership fee)
- Tirz
- $269/moMonth-to-month (compounded; $209/mo on a 3-month plan, $166/mo on a 6-month plan; no membership fee)
- Coverage
- Multi-state
- Brand
- Compounded
Compared with Cielo: $30/mo more for semaglutide · $80/mo more for tirzepatide
- 07C67/ 100Index
MD Total Wellness
MD Total Wellness is an in-person clinic in Brea, California, charging $299 a month for compounded semaglutide and $399 for tirzepatide at any dose, after a cheaper first month.
- Sema
- $299/moCompounded, any dose after a $199 first month
- Tirz
- $399/moCompounded, any dose after a $299 first month
- Coverage
- California only
- Brand
- Compounded
Compared with Cielo: $160/mo more for semaglutide · $210/mo more for tirzepatide
- 08C66/ 100Index
BiltRx
BiltRx is a US health-optimization telehealth platform spanning men's health, women's health, aesthetics and weight loss that offers compounded and brand-name GLP-1 medications.
- Sema
- $81/mo+ $9.99/mo required membership (compounded; consultation and shipping extra)
- Tirz
- $129/mo+ $9.99/mo required membership (compounded; consultation and shipping extra)
- Coverage
- Multi-state
- Brand
- Yes
Compared with Cielo: $58/mo less for semaglutide · $60/mo less for tirzepatide · also lists brand-name GLP-1s
Assume any provider we list may compensate us — it never changes the Cost-Efficiency Index. Pricing and coverage reflect public disclosures at last review; confirm on each provider's site. Not medical advice. See our disclosure.