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FXHvsFTXHETF Comparison
First Trust Health Care AlphaDEX Fund ETF (FXH) 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. FXH is more expensive with a Total Expense Ratio (TER) of 0.61%, versus 0.6% for FTXH. FXH is down -4.88% year-to-date (YTD) with -$40M in YTD flows. FTXH performs better with 2.6% YTD performance, and +$7M in YTD flows. Run a side-by-side ETF comparison of FXH 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.
FXH vs FTXH performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH FTXH | -4.48%-2.89% | -5.96%+3.86% | -4.88%+2.60% | +5.66%+22.74% | +6.29%+39.72% | +2.41%+37.82% |
| Flows | FXH FTXH | -$17M+$4M | -$40M+$9M | -$40M+$7M | -$160M+$10M | -$708M-$13M | -$511M+$7M |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH FTXH | +13.98%+15.86% | +18.35%+20.64% | +15.06%+15.91% | +16.53%+15.69% |
| Max drawdown | FXH FTXH | -9.26%-5.21% | -11.60%-16.42% | -18.79%-19.32% | -29.40%-19.32% |
| Max drawdown duration | FXH FTXH | 64d11d | 143d165d | 490d393d | 1648d393d |
FXH | FTXH | |
Last sale 3/13/2026 at 4:50 PM | $108.21 | $33.83 |
| Previous close 03/12/2026 | $108.23 | $34.46 |
| Consolidated volume 03/12/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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FXH | FTXH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
FXH | FTXH | |
|---|---|---|
| Last price | $108.21 | $33.83 |
| 1D performance | -0.02% | -1.82% |
| AuM | $854.71 M | $28.72 M |
| E/R | 0.61% | 0.6% |
FXH | FTXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | First Trust |
| Benchmark | StrataQuant Health Care Index | NASDAQ US Smart Pharmaceuticals Index |
| N° of holdings | 71 | 49 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 8, 2007 | September 20, 2016 |
| ESG | No | No |
Countries
Sectors
Diversification
Total weight of top 15 holdings out of 15
Total weight of top 15 holdings out of 15
Top 15 holdings
How have the FXH and FTXH ETFs performed in 2026?
As of March 12, 2026, FXH is down -4.88% year-to-date (YTD), while FTXH has returned 2.6%. That puts FTXH better performer ahead so far this year.
Which ETF is attracting more investor money: FXH or FTXH?
Year-to-date, the FXH ETF saw -$40M in flows, compared to +$7M for FTXH.
Which ETF is more volatile: FXH or FTXH?
Over the past year, FXH had a volatility of 18.35%, while FTXH experienced 20.64%.
Which ETF is bigger: FXH or FTXH?
As of March 12, 2026, FXH holds $854.71 M in assets under management (AUM), while FTXH manages $28.72 M.
What sectors do the FXH and FTXH ETFs invest in?
FXH leans toward sectors like Health Care. Meanwhile, FTXH focuses on Health Care.
What are the top holdings of the FXH ETF and FTXH ETF?
FXH top holdings include ORGANON & CO, PFIZER and CARDINAL HEALTH. FTXH holds in its top three: MERCK & CO INC, JOHNSON&JOHNSON and BRISTOL-MYERS SQUIBB.
Which ETF is more diversified: FXH or FTXH?
FXH holds 75 securities with 33.8% of its assets in the top 15. FTXH has 50 securities and a top 15 weight of 71.63%.
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