FTXHvsIHIETF Comparison
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First Trust Nasdaq Pharmaceuticals ETF (FTXH) and iShares U.S. Medical Devices ETF (IHI) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Healthcare. FTXH is more expensive with a Total Expense Ratio (TER) of 0.6%, versus 0.38% for IHI. FTXH is up 20.86% year-to-date (YTD) with +$890M in YTD flows. IHI performs worse with -15.03% YTD performance, and -$250M in YTD flows. Run a side-by-side ETF comparison of FTXH and IHI 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 IHI performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 07/28/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FTXH IHI | +3.05%+4.01% | +18.72%+1.53% | +20.86%-15.03% | +49.94%-13.44% | +55.38%-5.93% | +59.22%-14.44% |
| Flows | FTXH IHI | +$880M-$3M | +$881M-$43M | +$890M-$250M | +$893M-$636M | +$882M-$2.73B | +$885M-$3.68B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FTXH IHI | +18.15%+28.02% | +17.09%+20.01% | +16.60%+18.19% | +16.10%+19.61% |
| Max drawdown | FTXH IHI | -4.43%-8.56% | -7.50%-26.18% | -19.32%-26.72% | -19.32%-33.07% |
| Max drawdown duration | FTXH IHI | 20d64d | 99d245d | 393d538d | 393d1784d |
Trading data
FTXH | IHI | |
Last sale 7/29/2026 at 1:30 PM | $39.48 | $53.30 |
| Previous close 07/28/2026 | $39.69 | $52.69 |
| Consolidated volume 07/28/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of June 30, 2026
1-year trailing difference
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FTXH | IHI | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 7/29/2026 at 1:30 PM
Live
Closed
FTXH | IHI | |
|---|---|---|
| Last price | $39.48 | $53.30 |
| 1D performance | -0.52% | +1.16% |
| AuM | $933.35 M | $3.20 B |
| E/R | 0.6% | 0.38% |
Characteristics
FTXH | IHI | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | iShares |
| Benchmark | NASDAQ US Smart Pharmaceuticals Index | Dow Jones U.S. Select Medical Equipment Index |
| N° of holdings | 50 | 47 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 20, 2016 | May 1, 2006 |
| ESG | No | No |
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Exposure
Countries
FTXH
USA
95.49%
Other
4.51%
IHI
USA
91.35%
Ireland
7.6%
Other
1.04%
Sectors
FTXH
Healthcare
99.86%
Other
0.14%
IHI
Healthcare
99.8%
Other
0.2%
Diversification
FTXH
Total weight of top 15 holdings out of 15
66.57%
IHI
Total weight of top 15 holdings out of 15
88.02%
Top 15 holdings
Data as of June 30, 2026
FTXH
Eli Lilly & Co.
7.74%
AbbVie, Inc.
7.39%
Johnson & Johnson
6.98%
Merck & Co., Inc.
6.92%
Bristol Myers Squibb Co.
6.18%
Biogen, Inc.
3.73%
Viatris, Inc.
3.70%
Cardinal Health, Inc.
3.54%
Vertex Pharmaceuticals, Inc.
3.42%
Amgen, Inc.
3.18%
Pfizer Inc.
2.95%
Gilead Sciences, Inc.
2.89%
United Therapeutics Corp.
2.76%
Regeneron Pharmaceuticals, Inc.
2.73%
Jazz Pharmaceuticals Plc
2.46%
IHI
Abbott Laboratories
16.93%
Intuitive Surgical, Inc.
15.09%
Stryker Corp.
11.64%
Edwards Lifesciences Corp.
4.75%
Becton, Dickinson & Co.
4.63%
GE Healthcare Technologies, Inc.
4.51%
Medtronic Plc
4.40%
ResMed, Inc.
4.38%
IDEXX Laboratories, Inc.
4.27%
DexCom, Inc.
4.02%
Boston Scientific Corp.
3.99%
STERIS Plc (Ireland)
3.20%
Zimmer Biomet Holdings, Inc.
2.58%
Penumbra, Inc.
1.92%
Baxter International, Inc.
1.71%
Frequently asked questions about FTXH and IHI
How have the FTXH and IHI ETFs performed in 2026?
As of July 28, 2026, FTXH is up 20.86% year-to-date (YTD), while IHI has lost -15.03%. That puts FTXH better performer ahead so far this year.
Which ETF is attracting more investor money: FTXH or IHI?
Year-to-date, the FTXH ETF saw +$890M in flows, compared to -$250M for IHI.
Which ETF is more volatile: FTXH or IHI?
Over the past year, FTXH had a volatility of 17.09%, while IHI experienced 20.01%.
Which ETF is bigger: FTXH or IHI?
As of July 28, 2026, FTXH holds $933.35 M in assets under management (AUM), while IHI manages $3.20 B.
What sectors do the FTXH and IHI ETFs invest in?
FTXH leans toward sectors like Healthcare. Meanwhile, IHI focuses on Healthcare.
What are the top holdings of the FTXH ETF and IHI ETF?
FTXH top holdings include Eli Lilly & Co., AbbVie, Inc. and Johnson & Johnson. IHI holds in its top three: Abbott Laboratories, Intuitive Surgical, Inc. and Stryker Corp..
Which ETF is more diversified: FTXH or IHI?
FTXH holds 50 securities with 66.57% of its assets in the top 15. IHI has 47 securities and a top 15 weight of 88.02%.
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Latest news about FTXH & IHI
Notable ETF Filings Recap: April 2024
May 2, 2024
IHI
Health Care Sector Down After a Cyberattack on UnitedHealth
March 4, 2024
IHI
Investing in the Aging Demographics Megatrend
February 28, 2023
IHI
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