Three forces dominate the market forecast: (1) payer-led cost containment that accelerates tender-based generic uptake, (2) tightening WHO 2030 HCV elimination targets pushing governments toward volume-based procurement, and (3) supply-chain regionalization as API makers shift key intermediate production to India, China, and South Korea to mitigate geopolitical risk. North America retains the largest revenue share—driven by insurance-protected prices and ongoing birth-cohort screening—but South-East Asia is the fastest-expanding region, posting a 7% CAGR as Indonesia, Vietnam, and the Philippines scale up public-sector DAA programs. Competitive intensity remains moderate: Gilead’s authorized generic network preserves brand equity while limiting price erosion, whereas a cohort of ~25 global generic majors (Mylan, Hetero, Natco) compete on bioequivalence and supply security rather than pure price. Collectively, these dynamics shape a maturing but still evolving marketplace where access, affordability, and adherence programs—not clinical differentiation—will dictate growth trajectories through 2033.