FTXHvsIYHETF Comparison
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First Trust Nasdaq Pharmaceuticals ETF (FTXH) and iShares U.S. Healthcare ETF (IYH) 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 0.38% for IYH. FTXH is up 7.59% year-to-date (YTD) with +$10M in YTD flows. IYH performs worse with -3.16% YTD performance, and -$396M in YTD flows. Run a side-by-side ETF comparison of FTXH and IYH 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 IYH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/19/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FTXH IYH | +4.27%+2.80% | +6.15%+2.36% | +7.59%-3.16% | +40.48%+14.23% | +39.36%+17.09% | +45.63%+24.63% |
| Flows | FTXH IYH | -$2M+$127M | +$3M+$100M | +$10M-$396M | +$7M-$50M | -$3M-$515M | +$5M-$385K |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FTXH IYH | +17.60%+16.20% | +16.92%+15.16% | +16.27%+14.20% | +15.90%+14.99% |
| Max drawdown | FTXH IYH | -4.47%-4.54% | -7.50%-10.72% | -19.32%-17.89% | -19.32%-17.89% |
| Max drawdown duration | FTXH IYH | 32d43d | 99d162d | 393d445d | 393d445d |
Trading data
FTXH | IYH | |
Last sale 6/18/2026 at 1:30 PM | $35.38 | $62.68 |
| Previous close 06/18/2026 | $35.64 | $63.13 |
| 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 | IYH | |
|---|---|---|
| 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 | IYH | |
|---|---|---|
| Last price | $35.38 | $62.68 |
| 1D performance | -0.73% | -0.71% |
| AuM | $33.60 M | $3.06 B |
| E/R | 0.6% | 0.38% |
Characteristics
FTXH | IYH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | iShares |
| Benchmark | NASDAQ US Smart Pharmaceuticals Index | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index |
| N° of holdings | 50 | 94 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 20, 2016 | June 12, 2000 |
| ESG | No | No |
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Exposure
Countries
FTXH
USA
96.01%
Other
3.99%
IYH
USA
96.67%
Other
3.33%
Sectors
FTXH
Health Care
99.01%
Other
0.99%
IYH
Health Care
97.93%
Other
2.07%
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Diversification
FTXH
Total weight of top 15 holdings out of 15
69.8%
IYH
Total weight of top 15 holdings out of 15
68.52%
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%
AMGEN-T
3.28%
CARDINAL HEALTH
3.28%
UTD THERAPEUT
3.24%
IYH
LILLY
13.72%
JOHNSON&JOHNSON
10.14%
ABBVIE
6.86%
UNITEDHEALTH GRP
6.18%
MERCK & CO INC
4.97%
AMGEN-T
3.41%
THERMO FISHER SCIENTIFIC
3.32%
GILEAD SCIENCES
2.99%
INTUITIVE SURGICAL
2.96%
ABBOTT LABS
2.88%
PFIZER
2.78%
BRISTOL-MYERS SQUIBB
2.26%
DANAHER
2.07%
STRYKER
1.99%
VERTEX PHARMACEUTICALS
1.99%
Frequently asked questions about FTXH and IYH
How have the FTXH and IYH ETFs performed in 2026?
As of June 19, 2026, FTXH is up 7.59% year-to-date (YTD), while IYH has lost -3.16%. That puts FTXH better performer ahead so far this year.
Which ETF is attracting more investor money: FTXH or IYH?
Year-to-date, the FTXH ETF saw +$10M in flows, compared to -$396M for IYH.
Which ETF is more volatile: FTXH or IYH?
Over the past year, FTXH had a volatility of 16.92%, while IYH experienced 15.16%.
Which ETF is bigger: FTXH or IYH?
As of June 19, 2026, FTXH holds $33.60 M in assets under management (AUM), while IYH manages $3.06 B.
What sectors do the FTXH and IYH ETFs invest in?
FTXH leans toward sectors like Health Care. Meanwhile, IYH focuses on Health Care.
What are the top holdings of the FTXH ETF and IYH ETF?
FTXH top holdings include BRISTOL-MYERS SQUIBB, LILLY and JOHNSON&JOHNSON. IYH holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: FTXH or IYH?
FTXH holds 50 securities with 69.8% of its assets in the top 15. IYH has 104 securities and a top 15 weight of 68.52%.
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Latest news about FTXH & IYH
Health Care Sector Down After a Cyberattack on UnitedHealth
March 4, 2024
IYH
Healthcare Stocks Rebound
August 14, 2023
IYH
Continued tightening of the U.S. labor market
September 23, 2022
IYH
U.S. labor market facing tight conditions
July 5, 2022
IYH
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