Head-to-head · WeighScore
Cielo vs InstaRX
The verdict
Cielo takes it — 69.4/100 to 63.8/100.
Cielo grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Cielo is a compounded-GLP-1-only telehealth platform offering semaglutide and tirzepatide with no brand-name drugs and no TRT, hair, or mental-health add-ons — a focused, single-purpose alternative to…
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Cielo | InstaRX |
|---|---|---|
| WeighScore | 69.4/100 | 63.8/100 |
| Grade | C | C |
| Scorecard rank | #129 | #253 |
| Semaglutide | $149/mo (all doses, compounded) | $199/mo (starting dose, compounded) |
| Tirzepatide | $249/mo (all doses, compounded) | $199/mo (starting dose, compounded) |
| Coverage | Coverage not published | All 50 states |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #129 · C
Strengths
- Among the lowest 3-month bundle prices in compounded GLP-1 ($115/mo semaglutide)
- Single flat price across all doses simplifies titration planning
- Corporate address (St. Petersburg, FL) and customer-service phone published
Where it loses points
- No LegitScript, NABP .pharmacy, or HIPAA badge on the home page
- Pharmacy partner not named (only 'regulated FDA pharmacy partners')
- State coverage list not published — can't verify all-50-state availability
- Clinical care runs through MD Integrations, a shared third-party network used by many brands
- No brand-name Wegovy or Zepbound option
Graded #253 · C
Strengths
- Available in all 50 states plus DC
- Manage GLP-1, anti-aging peptides, and sexual-health medications on one account
- Offers both compounded semaglutide and compounded tirzepatide
- Independent provider group (Dr Telx) named in the Terms of Service
Where it loses points
- No per-dose or monthly pricing published — only a "$199 to get started" hook; you can't compare costs before intake
- No LegitScript, HIPAA, or NABP accreditation shown on public pages
- Compounding pharmacy not named — only "U.S. pharmacies"
- Terms of Service reads like generic boilerplate, including copy-paste language about women's health issues — suggests low template hygiene
- Delaware governing law for disputes despite a California corporate address
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.