Israel’s 2021 HCV elimination program identified 865,382 at-risk persons, screened 64.3% (555,083), detected HCV in 24,361 (4.4%), and treated 80% (10,711) with 96.5% SVR. Costs were ₪14,426 ($3,606) per treated person. Targeted screening, awareness campaigns, and a patient registry were key components.