FTXHvsVHTETF Comparison
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First Trust Nasdaq Pharmaceuticals ETF (FTXH) and Vanguard Health Care ETF (VHT) belong to the same industry segment: US Health Care. FTXH's top 1 sector exposures are Healthcare. In contrast, VHT's top sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. FTXH is more expensive with a Total Expense Ratio (TER) of 0.6%, versus 0.09% for VHT. FTXH is up 31.84% year-to-date (YTD) with +$1.02B in YTD flows. VHT performs worse with 17.43% YTD performance, and +$73M in YTD flows. Run a side-by-side ETF comparison of FTXH and VHT 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 VHT performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 10/28/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FTXH VHT | +3.28%+4.29% | +9.09%+7.19% | +31.84%+17.43% | +47.80%+25.00% | +87.39%+56.18% | +77.36%+40.38% |
| Flows | FTXH VHT | +$41M-$17M | +$176M+$157M | +$1.02B+$73M | +$1.02B+$227M | +$1.02B-$2.04B | +$1.02B-$977M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FTXH VHT | +18.78%+16.33% | +17.62%+15.84% | +17.11%+14.83% | +16.43%+15.62% |
| Max drawdown | FTXH VHT | -5.45%-5.63% | -7.50%-10.39% | -19.32%-16.88% | -19.32%-17.77% |
| Max drawdown duration | FTXH VHT | 57d56d | 99d169d | 393d435d | 393d767d |
Trading data
FTXH | VHT | |
Last sale 10/29/2026 at 1:30 PM | $43.77 | $341.93 |
| Previous close 10/28/2026 | $43.25 | $334.46 |
| Consolidated volume 10/28/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of September 30, 2026
1-year trailing difference
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FTXH | VHT | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 10/29/2026 at 1:30 PM
Live
Closed
FTXH | VHT | |
|---|---|---|
| Last price | $43.77 | $341.93 |
| 1D performance | +1.22% | +2.23% |
| AuM | $1.16 B | $20.19 B |
| E/R | 0.6% | 0.09% |
Characteristics
FTXH | VHT | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | Vanguard |
| Benchmark | NASDAQ US Smart Pharmaceuticals Index | MSCI US IMI Health Care 25/50 Index |
| N° of holdings | 49 | 412 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 20, 2016 | January 26, 2004 |
| ESG | No | No |
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Exposure
Countries
FTXH
USA
95.82%
Other
4.18%
VHT
USA
96.81%
Other
3.19%
Sectors
FTXH
Healthcare
99.79%
Other
0.21%
VHT
Healthcare
97.74%
Other
2.26%
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Diversification
FTXH
Total weight of top 15 holdings out of 15
67.15%
VHT
Total weight of top 15 holdings out of 15
60.65%
Top 15 holdings
Data as of August 31, 2026
FTXH
Merck & Co., Inc.
7.62%
AbbVie, Inc.
7.05%
Eli Lilly & Co.
6.92%
Johnson & Johnson
6.87%
Bristol Myers Squibb Co.
6.75%
Amgen, Inc.
3.56%
Biogen, Inc.
3.54%
Viatris, Inc.
3.51%
Vertex Pharmaceuticals, Inc.
3.48%
Regeneron Pharmaceuticals, Inc.
3.33%
Cardinal Health, Inc.
3.29%
Pfizer Inc.
3.25%
Gilead Sciences, Inc.
3.16%
Incyte Corp.
2.43%
United Therapeutics Corp.
2.39%
VHT
Eli Lilly & Co.
12.79%
Johnson & Johnson
8.72%
AbbVie, Inc.
6.26%
Merck & Co., Inc.
5.04%
UnitedHealth Group, Inc.
4.89%
Amgen, Inc.
3.21%
Thermo Fisher Scientific, Inc.
3.17%
Abbott Laboratories
2.66%
Gilead Sciences, Inc.
2.51%
Pfizer Inc.
2.24%
Vertex Pharmaceuticals, Inc.
1.91%
Bristol Myers Squibb Co.
1.88%
Danaher Corp.
1.88%
Intuitive Surgical, Inc.
1.84%
CVS Health Corp.
1.66%
Frequently asked questions about FTXH and VHT
How have the FTXH and VHT ETFs performed in 2026?
As of October 28, 2026, FTXH is up 31.84% year-to-date (YTD), while VHT has returned 17.43%. That puts FTXH better performer ahead so far this year.
Which ETF is attracting more investor money: FTXH or VHT?
Year-to-date, the FTXH ETF saw +$1.02B in flows, compared to +$73M for VHT.
Which ETF is more volatile: FTXH or VHT?
Over the past year, FTXH had a volatility of 17.62%, while VHT experienced 15.84%.
Which ETF is bigger: FTXH or VHT?
As of October 28, 2026, FTXH holds $1.16 B in assets under management (AUM), while VHT manages $20.19 B.
What sectors do the FTXH and VHT ETFs invest in?
FTXH leans toward sectors like Healthcare. Meanwhile, VHT focuses on Healthcare.
What are the top holdings of the FTXH ETF and VHT ETF?
FTXH top holdings include Merck & Co., Inc., AbbVie, Inc. and Eli Lilly & Co.. VHT holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: FTXH or VHT?
FTXH holds 49 securities with 67.15% of its assets in the top 15. VHT has 412 securities and a top 15 weight of 60.65%.
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