BBHvsFTXHETF Comparison
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VanEck Biotech ETF (BBH) and First Trust Nasdaq Pharmaceuticals ETF (FTXH) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. BBH is less expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.6% for FTXH. BBH is down -1.86% year-to-date (YTD) with -$4M in YTD flows. FTXH performs better with 2.18% YTD performance, and +$9M in YTD flows. Run a side-by-side ETF comparison of BBH and FTXH below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
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BBH vs FTXH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | BBH FTXH | +1.88%+1.62% | -7.18%-0.72% | -1.86%+2.18% | +24.34%+36.04% | +15.09%+30.54% | -0.59%+36.84% |
| Flows | BBH FTXH | -$2M+$2M | -$4M+$7M | -$4M+$9M | -$52M+$11M | -$188M-$7M | -$130M+$3M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | BBH FTXH | +20.75%+17.61% | +20.44%+18.13% | +18.72%+16.09% | +21.44%+15.80% |
| Max drawdown | BBH FTXH | -10.45%-7.50% | -10.45%-7.50% | -22.78%-19.32% | -39.88%-19.32% |
| Max drawdown duration | BBH FTXH | 87d54d | 87d54d | 440d393d | 1719d393d |
Trading data
BBH | FTXH | |
Last sale 4/27/2026 at 1:30 PM | $184.16 | $33.64 |
| Previous close 04/24/2026 | $185.67 | $34.01 |
| Consolidated volume 04/24/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 2026
1-year trailing difference
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BBH | FTXH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/27/2026 at 1:30 PM
Live
Closed
BBH | FTXH | |
|---|---|---|
| Last price | $184.16 | $33.64 |
| 1D performance | -0.81% | -1.10% |
| AuM | $365.13 M | $30.23 M |
| E/R | 0.35% | 0.6% |
Characteristics
BBH | FTXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | VanEck | First Trust |
| Benchmark | MVIS US Listed Biotech 25 Index | NASDAQ US Smart Pharmaceuticals Index |
| N° of holdings | 21 | 50 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | December 20, 2011 | September 20, 2016 |
| ESG | No | No |
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Exposure
Countries
BBH
USA
97.6%
Other
2.4%
FTXH
USA
96.17%
Other
3.83%
Sectors
BBH
Health Care
89.52%
Other
10.48%
FTXH
Health Care
99.23%
Other
0.77%
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Diversification
BBH
Total weight of top 15 holdings out of 15
86.44%
FTXH
Total weight of top 15 holdings out of 15
71%
Top 15 holdings
Data as of March 31, 2026
BBH
AMGEN-T
14.84%
GILEAD SCIENCES
14.71%
VERTEX PHARMACEUTICALS
8.23%
REGENERON PHARMACEUTICALS
7.49%
US04016X1019
5.23%
INSMED
4.42%
IQVIA HOLDINGS INC
4.30%
ALNYLAM PHARMACEUTICALS
4.04%
BIOGEN INC
3.92%
UTD THERAPEUT
3.89%
NATERA
3.82%
US07725L1026
3.20%
MODERNA INC
3.03%
REVOLUTION MEDICINES INC
2.81%
ILLUMINA
2.51%
FTXH
BRISTOL-MYERS SQUIBB
7.45%
JOHNSON&JOHNSON
7.39%
MERCK & CO INC
7.34%
ABBVIE
6.97%
LILLY
6.83%
PFIZER
3.88%
REGENERON PHARMACEUTICALS
3.74%
BIOGEN INC
3.60%
GILEAD SCIENCES
3.54%
CARDINAL HEALTH
3.48%
VIATRIS INC
3.43%
AMGEN-T
3.42%
VERTEX PHARMACEUTICALS
3.39%
ZOETIS INC
3.37%
UTD THERAPEUT
3.17%
Frequently asked questions about BBH and FTXH
How have the BBH and FTXH ETFs performed in 2026?
As of April 24, 2026, BBH is down -1.86% year-to-date (YTD), while FTXH has returned 2.18%. That puts FTXH better performer ahead so far this year.
Which ETF is attracting more investor money: BBH or FTXH?
Year-to-date, the BBH ETF saw -$4M in flows, compared to +$9M for FTXH.
Which ETF is more volatile: BBH or FTXH?
Over the past year, BBH had a volatility of 20.44%, while FTXH experienced 18.13%.
Which ETF is bigger: BBH or FTXH?
As of April 24, 2026, BBH holds $365.13 M in assets under management (AUM), while FTXH manages $30.23 M.
What sectors do the BBH and FTXH ETFs invest in?
BBH leans toward sectors like Health Care. Meanwhile, FTXH focuses on Health Care.
What are the top holdings of the BBH ETF and FTXH ETF?
BBH top holdings include AMGEN-T, GILEAD SCIENCES and VERTEX PHARMACEUTICALS. FTXH holds in its top three: BRISTOL-MYERS SQUIBB, JOHNSON&JOHNSON and MERCK & CO INC.
Which ETF is more diversified: BBH or FTXH?
BBH holds 24 securities with 86.44% of its assets in the top 15. FTXH has 50 securities and a top 15 weight of 71%.
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