What does the first month at Cielo cost?

$139 for compounded semaglutide, the same as every month after it.

Is Cielo cheaper if I pay up front?

The 6-month plan works out to $89 a month for compounded semaglutide. Bought month by month, the same 6 months would be $834: a difference of $300 by our math, if you stay the whole term.

Does the Cielo price go up with the dose?

No. Compounded semaglutide stays at $139 a month whatever the dose, by Cielo's own account.

Cost · Not a partner

Cielo cost and pricing

Every plan, month one, fees and refunds · Prices read September 2026

They advertise

~~$89/mo, 6-month plan~~

A month with no commitment

$139/mo, month to month

What one month costs before any prepay discount. The ladders below price each part separately.

GLP America, Publisher · Prices read on the company's own pages · How we review

Month one, then every month after

Cielo: first month and later months
Drug	Month one	Each month after
Compounded semaglutide	$139	$139
Compounded tirzepatide	$189	$189

Every plan, by drug and term

Compounded semaglutide

compounded semaglutide price ladder
Plan	Per month	Charged today
Monthly plan Source Monthly Plan $139/Month Regularly $199/monthCielo's semaglutide page · read September 2026	$139	$139
3-month plan Source 3 Month Plan $99/Month Save $300 on 3 monthsCielo's semaglutide page · read September 2026	$99	$297
6-month plan · advertised Source 6 Month Plan Best Value Lowest Price Now $89/Month Save $660 on 6 monthsCielo's semaglutide page · read September 2026	$89	$534

† Cielo's plan cards give only per-month figures (“Now $89/Month”, “$99/Month”) and savings lines (“Save $660 on 6 months”), and never say whether a 3- or 6-month plan is charged at once or month by month. The FAQ says “Cielo doesn’t have contracts and you can cancel anytime.” The upfront column on term plans is our multiplication.

Flat across doses: the plan card says “Same price any dose”, and the home page's fine print reads “*With a 6-month plan. All doses.” The “Regularly $199/month” beside the monthly plan is Cielo's own reference price.

Compounded tirzepatide

compounded tirzepatide price ladder
Plan	Per month	Charged today
Monthly plan Source Monthly Plan $189/Month Regularly $299/monthCielo's tirzepatide page · read September 2026	$189	$189
3-month plan Source 3 Month Pan $149/Month Save $450 on 3 monthsCielo's tirzepatide page · read September 2026	$149	$447
6-month plan Source 6 Month Plan Best Value Lowest Price Now $129/Month Save $1,020 on 6 monthsCielo's tirzepatide page · read September 2026	$129	$774

Tirzepatide carries the same “Same price any dose” line. Its reference price is “Regularly $299/month”, and the three-month card is spelled “3 Month Pan” on the page.

Paying up front

Cielo prepaid plans against paying monthly
Plan	Commitment	Same months, paid monthly	Difference
3-month plan · compounded semaglutide	$297	$417	−$120
6-month plan · compounded semaglutide	$534	$834	−$300
3-month plan · compounded tirzepatide	$447	$567	−$120
6-month plan · compounded tirzepatide	$774	$1,134	−$360

The last two columns are our arithmetic, not Cielo's: the plan's charge against the same number of months bought one at a time at Cielo's month-to-month price. A prepay only saves that much if you stay on the drug for the whole term.

Fees on top of the medication

Membership. None. The medication price is the whole monthly charge.
Consultation. No separate consultation fee is disclosed.

Billing, canceling and refunds

Cielo says it has no contracts and that you can cancel at any time.
After canceling you're responsible only for medication that has already shipped.
No refund policy is published, and nothing says how a prepaid three- or six-month plan is treated on cancellation.

Cielo cost questions

What does the first month at Cielo cost?$139 for compounded semaglutide, the same as every month after it.
Is Cielo cheaper if I pay up front?The 6-month plan works out to $89 a month for compounded semaglutide. Bought month by month, the same 6 months would be $834: a difference of $300 by our math, if you stay the whole term.
Does the Cielo price go up with the dose?No. Compounded semaglutide stays at $139 a month whatever the dose, by Cielo's own account.

The service, the checks and who should skip Cielo are in the Cielo review. To price a plan line by line with any membership and fee added, use the real cost calculator; it reads the same ladder. How the advertised figure compares with every other company's is on the September 2026 Price Gap Index.

More reviews on the index; the rules behind them are on how we review.