FTXHvsFHLCETF Comparison
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First Trust Nasdaq Pharmaceuticals ETF (FTXH) and Fidelity MSCI Health Care Index ETF (FHLC) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. FTXH is more expensive with a Total Expense Ratio (TER) of 0.6%, versus 0.084% for FHLC. FTXH is up 8.44% year-to-date (YTD) with +$10M in YTD flows. FHLC performs worse with -1.53% YTD performance, and +$224M in YTD flows. Run a side-by-side ETF comparison of FTXH and FHLC 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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FTXH vs FHLC performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/17/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FTXH FHLC | +5.79%+3.93% | +5.19%+2.25% | +8.44%-1.53% | +41.27%+16.87% | +40.46%+20.86% | +46.23%+23.96% |
| Flows | FTXH FHLC | -$2M+$25M | +$3M+$113M | +$10M+$224M | +$7M+$223M | -$3M-$413M | +$5M-$62M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FTXH FHLC | +17.82%+16.17% | +16.90%+14.69% | +16.28%+14.04% | +15.91%+15.05% |
| Max drawdown | FTXH FHLC | -4.47%-4.21% | -7.50%-10.35% | -19.32%-16.88% | -19.32%-17.78% |
| Max drawdown duration | FTXH FHLC | 32d32d | 99d161d | 393d435d | 393d762d |
Trading data
FTXH | FHLC | |
Last sale 6/18/2026 at 1:30 PM | $35.38 | $72.22 |
| Previous close 06/18/2026 | $35.64 | $72.87 |
| Consolidated volume 06/18/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 2026
1-year trailing difference
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FTXH | FHLC | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 6/18/2026 at 1:30 PM
Live
Closed
FTXH | FHLC | |
|---|---|---|
| Last price | $35.38 | $72.22 |
| 1D performance | -0.73% | -0.89% |
| AuM | $33.87 M | $3.01 B |
| E/R | 0.6% | 0.084% |
Characteristics
FTXH | FHLC | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | Fidelity |
| Benchmark | NASDAQ US Smart Pharmaceuticals Index | MSCI USA IMI Health Care 25/50 Index |
| N° of holdings | 50 | 281 |
| Asset class | Equities | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 20, 2016 | October 21, 2013 |
| ESG | No | No |
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Exposure
Countries
FTXH
USA
96.01%
Other
3.99%
FHLC
USA
96.36%
Other
3.64%
Sectors
FTXH
Health Care
99.01%
Other
0.99%
FHLC
Health Care
97.13%
Other
2.87%
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Diversification
FTXH
Total weight of top 15 holdings out of 15
69.8%
FHLC
Total weight of top 15 holdings out of 15
59.56%
Top 15 holdings
Data as of April 30, 2026
FTXH
BRISTOL-MYERS SQUIBB
7.20%
LILLY
7.06%
JOHNSON&JOHNSON
7.05%
MERCK & CO INC
6.99%
ABBVIE
6.87%
VIATRIS INC
3.88%
BIOGEN INC
3.76%
PFIZER
3.67%
REGENERON PHARMACEUTICALS
3.46%
GILEAD SCIENCES
3.41%
ZOETIS INC
3.36%
VERTEX PHARMACEUTICALS
3.29%
CARDINAL HEALTH
3.28%
AMGEN-T
3.28%
UTD THERAPEUT
3.24%
FHLC
LILLY
11.43%
JOHNSON&JOHNSON
8.89%
ABBVIE
5.71%
UNITEDHEALTH GRP
5.26%
MERCK & CO INC
4.48%
AMGEN-T
3.00%
THERMO FISHER SCIENTIFIC
2.88%
INTUITIVE SURGICAL
2.73%
ABBOTT LABS
2.64%
GILEAD SCIENCES
2.60%
PFIZER
2.49%
BRISTOL-MYERS SQUIBB
1.93%
DANAHER
1.88%
STRYKER
1.85%
VERTEX PHARMACEUTICALS
1.77%
Frequently asked questions about FTXH and FHLC
How have the FTXH and FHLC ETFs performed in 2026?
As of June 17, 2026, FTXH is up 8.44% year-to-date (YTD), while FHLC has lost -1.53%. That puts FTXH better performer ahead so far this year.
Which ETF is attracting more investor money: FTXH or FHLC?
Year-to-date, the FTXH ETF saw +$10M in flows, compared to +$224M for FHLC.
Which ETF is more volatile: FTXH or FHLC?
Over the past year, FTXH had a volatility of 16.9%, while FHLC experienced 14.69%.
Which ETF is bigger: FTXH or FHLC?
As of June 17, 2026, FTXH holds $33.87 M in assets under management (AUM), while FHLC manages $3.01 B.
What sectors do the FTXH and FHLC ETFs invest in?
FTXH leans toward sectors like Health Care. Meanwhile, FHLC focuses on Health Care.
What are the top holdings of the FTXH ETF and FHLC ETF?
FTXH top holdings include BRISTOL-MYERS SQUIBB, LILLY and JOHNSON&JOHNSON. FHLC holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: FTXH or FHLC?
FTXH holds 50 securities with 69.8% of its assets in the top 15. FHLC has 336 securities and a top 15 weight of 59.56%.
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