Cielo vs Blue Sky MD

Compare the prices, treatment options and tradeoffs that matter before you choose a GLP-1 program.

By The WeighLab Bench. Provider verification dates appear below.

Cielo

Provider comparison

Shoppers who want one price at every dose and can choose between a monthly plan and cheaper 3-, 6- or 12-month plans.

Semaglutide / month: $139/moAll doses, monthly plan, compounded; $99/mo on a 3-month plan, $89/mo on 6 months, $84/mo on 12 months
Tirzepatide / month: $189/moAll doses, monthly plan, compounded; $149/mo on a 3-month plan, $129/mo on 6 months, $119/mo on 12 months

Index 66/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Cielo pricing Read review

Blue Sky MD

Provider comparison

North Carolina residents who want an established, physician-led, LegitScript-certified in-person clinic.

Semaglutide / month: $173.33/moEquivalent (weekly starting rate, in-office, compounded)
Tirzepatide / month: $260/moEquivalent (weekly starting rate, in-office, compounded)

Index 66/100 · Grade CChecked October 2026

Compounded drugs are not FDA-approved. Understand the medication options.

Check Blue Sky MD pricing Read review

We may earn a commission if you sign up through a provider link, at no extra cost to you. Compensation does not change scores. How we earn money.

The comparison in brief

Both score 66/100 on the Cost-Efficiency Index. There is no score winner; compare the treatment you need, billing terms and state availability.

Check the difference in state access

Cielo: Coverage not published
Blue Sky MD: 1 state

The better fit depends on what is included in your quote. A lower advertised price can require prepayment, apply to a starting dose or leave out a separate fee.

How the comparison is scored

Costs & coverage

Published prices with their terms intact. Annual estimates account for billing frequency and known fixed required fees; they are not a treatment quote.

Cielo

Blue Sky MD

Semaglutide / month: Cielo: $139/moAll doses, monthly plan, compounded; $99/mo on a 3-month plan, $89/mo on 6 months, $84/mo on 12 months; Blue Sky MD: $173.33/moEquivalent (weekly starting rate, in-office, compounded)

Tirzepatide / month: Cielo: $189/moAll doses, monthly plan, compounded; $149/mo on a 3-month plan, $129/mo on 6 months, $119/mo on 12 months; Blue Sky MD: $260/moEquivalent (weekly starting rate, in-office, compounded)

Semaglutide / year (modeled): Cielo: $1,668; Blue Sky MD: $2,080

Tirzepatide / year (modeled): Cielo: $2,268; Blue Sky MD: $3,120

State availability: Cielo: Coverage not published; Blue Sky MD: 1 state

Oral / sublingual option listed: Cielo: Not listed; Blue Sky MD: Not listed

Brand-name access listed: Cielo: Not confirmed; Blue Sky MD: Yes

Provider facts checked: Cielo: October 2026; Blue Sky MD: October 2026

Comparing different billing plans? See what a GLP-1 monthly price can leave out, or calculate the monthly cost.

Which program fits your priorities?

The strengths and limitations behind each provider's score. Read the full review before deciding.

Cielo

Shoppers who want one price at every dose and can choose between a monthly plan and cheaper 3-, 6- or 12-month plans.

Reasons to consider it

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

What to weigh up

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

Compounded drugs are not FDA-approved. Understand the medication options.

Check Cielo pricing Read the full Cielo review

Blue Sky MD

North Carolina residents who want an established, physician-led, LegitScript-certified in-person clinic.

Reasons to consider it

Names medical director Dr. David LaMond and displays LegitScript certification
Offers brand-name Wegovy, Ozempic, Zepbound and Mounjaro as well as compounded options
Publishes weekly starting prices for in-office compounded treatment

What to weigh up

The published $40/$60 per-week price is explicitly labeled 'in-office' on the GLP-1 page, and that specific page never mentions telehealth at all — whether the rate applies to out-of-state or telehealth-only patients is unconfirmed
Geographic footprint is North Carolina only; no state-by-state telehealth coverage list is published
No compounding pharmacy is named anywhere on the site

Compounded drugs are not FDA-approved. Understand the medication options.

Check Blue Sky MD pricing Read the full Blue Sky MD review

Explore the six scoring factors

Scores run from 0 to 100. A higher factor score reflects our published value criteria; it is not a clinical endorsement.

CieloBlue Sky MD

Normalized Cost/Month: Cielo:
86/100; Blue Sky MD:
60/100

Price Transparency: Cielo:
94/100; Blue Sky MD:
78/100

Nationwide Access: Cielo:
24/100; Blue Sky MD:
42/100

Formulation Options: Cielo:
66/100; Blue Sky MD:
79/100

Clinical Oversight: Cielo:
80/100; Blue Sky MD:
87/100

Contract Flexibility: Cielo:
25/100; Blue Sky MD:
55/100

Before you sign up

Confirm your totalAsk about dose changes, membership, labs, shipping and cancellation terms.
Check treatment accessState coverage and medical eligibility can differ by medication and formulation.
Understand the medicationCompare compounded and brand-name options. Compounded drugs are not FDA-approved.

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Provider information reflects public disclosures at the verification dates shown. Prices and availability change; confirm current terms before paying. This comparison is for information, not medical advice. A licensed clinician determines whether treatment is appropriate.