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FXHvsFTXHETF Comparison

ETF 1
FXH

First Trust Health Care AlphaDEX Fund ETF

This fund is part of
US Health Care
+1.06%
VS
ETF 2
FTXH

First Trust Nasdaq Pharmaceuticals ETF

This fund is part of
US Health Care
+1.06%

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 1 sector exposures: Healthcare. FXH is more expensive with a Total Expense Ratio (TER) of 0.61%, versus 0.6% for FTXH. FXH is up 13.05% year-to-date (YTD) with +$32M in YTD flows. FTXH performs better with 19.95% YTD performance, and +$911M 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.

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FXH vs FTXH performance and flow charts

Performance

-3.0-2.0-1.00.01.02.0%Jul 6Jul 13Jul 20Jul 27Aug 3

Cumulative Flows

0 M200 M400 M600 M800 M1,000 MJul 6Jul 13Jul 20Jul 27Aug 3

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Historic performance and flows
Data as of 08/05/2026
1M3MYTD1Y3Y5Y
Perf.
FXH
FTXH
+2.11%+1.26%
+13.64%+15.65%
+13.05%+19.95%
+29.01%+50.32%
+23.93%+55.55%
+6.09%+57.15%
Flows
FXH
FTXH
+$57M+$901M
+$88M+$901M
+$32M+$911M
+$1M+$914M
-$594M+$906M
-$457M+$906M
Volatility and drawdown
3M1Y3Y5Y
Volatility
FXH
FTXH
+15.87%+18.17%
+15.83%+16.95%
+15.52%+16.63%
+16.88%+16.11%
Max drawdown
FXH
FTXH
-3.81%-4.43%
-12.07%-7.50%
-17.66%-19.32%
-29.40%-19.32%
Max drawdown duration
FXH
FTXH
20d20d
168d99d
395d393d
1759d393d
Trading data

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FXH
FTXH
Last sale
8/6/2026 at 4:25 PM
$127.61
$39.08
Previous close
08/05/2026
$128.30
$39.40
Consolidated volume
08/05/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of July 31, 2026
1-year trailing difference

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FXH
FTXH
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 8/6/2026 at 4:25 PM
Live
Closed
FXH
FTXH
Last price
$127.61
$39.08
1D performance
-0.54%
-0.82%
AuM$1.08 B$948.00 M
E/R0.61%0.6%
Characteristics
FXH
FTXH
Management strategyPassivePassive
ProviderFirst TrustFirst Trust
BenchmarkStrataQuant Health Care IndexNASDAQ US Smart Pharmaceuticals Index
N° of holdings7550
Asset classEquitiesEquities
Trailing 12m distribution yield
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Inception dateMay 8, 2007September 20, 2016
ESGNoNo
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Exposure

Countries

FXH
USA
96.02%
Other
3.98%
FTXH
USA
95.49%
Other
4.51%

Sectors

FXH
Healthcare
99.85%
Other
0.15%
FTXH
Healthcare
99.86%
Other
0.14%
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Diversification

FXH

Total weight of top 15 holdings out of 15

38.89%
FTXH

Total weight of top 15 holdings out of 15

66.57%

Top 15 holdings

Data as of June 30, 2026
FXH
Humana, Inc.
4.74%
Organon & Co.
3.63%
DaVita, Inc.
2.98%
Elevance Health, Inc.
2.86%
Molina Healthcare, Inc.
2.80%
Exelixis, Inc.
2.53%
Incyte Corp.
2.43%
Solventum Corp.
2.41%
Biogen, Inc.
2.30%
Cardinal Health, Inc.
2.26%
Bio-Rad Laboratories, Inc.
2.14%
The Cigna Group
2.09%
Chemed Corp.
2.05%
Zimmer Biomet Holdings, Inc.
1.87%
Illumina, Inc.
1.80%
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%
Frequently asked questions about FXH and FTXH

How have the FXH and FTXH ETFs performed in 2026?

As of August 5, 2026, FXH is up 13.05% year-to-date (YTD), while FTXH has returned 19.95%. 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 +$32M in flows, compared to +$911M for FTXH.

Which ETF is more volatile: FXH or FTXH?

Over the past year, FXH had a volatility of 15.83%, while FTXH experienced 16.95%.

Which ETF is bigger: FXH or FTXH?

As of August 5, 2026, FXH holds $1.08 B in assets under management (AUM), while FTXH manages $948.00 M.

What sectors do the FXH and FTXH ETFs invest in?

FXH leans toward sectors like Healthcare. Meanwhile, FTXH focuses on Healthcare.

What are the top holdings of the FXH ETF and FTXH ETF?

FXH top holdings include Humana, Inc., Organon & Co. and DaVita, Inc.. FTXH holds in its top three: Eli Lilly & Co., AbbVie, Inc. and Johnson & Johnson.

Which ETF is more diversified: FXH or FTXH?

FXH holds 75 securities with 38.89% of its assets in the top 15. FTXH has 50 securities and a top 15 weight of 66.57%.

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