Three forces dominate the market dynamics: (1) Regulatory momentum, with the WHO’s 2022 recommendation for broader use of fixed‑dose regimens, streamlining approvals; (2) Supply‑chain resilience, as manufacturers adopt continuous‑manufacturing technologies to mitigate raw‑material shortages; and (3) Competitive intensity, where major players such as Gilead, ViiV Healthcare, and emerging generic firms intensify price competition. North America remains the largest region, driven by high per‑capita spending and mature healthcare infrastructure, while the Asia‑Pacific region is the fastest‑growing market, fueled by expanding HIV screening programs and government‑backed procurement schemes. These trends collectively shape a robust market forecast, offering strategic opportunities for stakeholders aiming to capture value in the evolving antiretroviral landscape.