Head-to-head · WeighScore
Cielo vs LifeRx.md
The verdict
Cielo takes it — 69.4/100 to 69.3/100, but only just.
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… LifeRx.md is close behind and may still be the better fit — see the factor split below.
We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Cielo | LifeRx.md |
|---|---|---|
| WeighScore | 69.4/100 | 69.3/100 |
| Grade | C | C |
| Scorecard rank | #129 | #134 |
| Semaglutide | $149/mo (all doses, compounded) | $200/mo |
| Tirzepatide | $249/mo (all doses, compounded) | $275/mo |
| 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 #134 · C
Strengths
- Flat pricing that does not rise with dose: semaglutide ~$200, tirzepatide ~$275 per 5-week supply
- LegitScript certified; prescriptions filled by state-licensed 503A pharmacies
- Available in all 50 states
- HSA and FSA payments accepted
- Required video telehealth consult ensures clinician oversight
Where it loses points
- Compounded GLP-1s are not FDA-approved for safety, efficacy or quality
- Extra fees stack up: ~$30 shipping, $49.95 initial consult, $25 follow-ups
- True monthly cost (~$255) is higher than the headline medication price
- Specific list of supported states not enumerated on site
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.