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IHEvsFXHETF Comparison

ETF 1
IHE

iShares U.S. Pharmaceuticals ETF

This fund is part of
US Health Care
-0.3%
Full IHE fund page
VS
ETF 2
FXH

First Trust Health Care AlphaDEX Fund ETF

This fund is part of
US Health Care
-0.3%
Full FXH fund page

iShares U.S. Pharmaceuticals ETF (IHE) and First Trust Health Care AlphaDEX Fund ETF (FXH) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. IHE is less expensive with a Total Expense Ratio (TER) of 0.38%, versus 0.61% for FXH. IHE is up 2.1% year-to-date (YTD) with +$129M in YTD flows. FXH performs worse with -4.88% YTD performance, and -$40M in YTD flows. Run a side-by-side ETF comparison of IHE and FXH 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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IHE vs FXH performance and flow charts

Performance

-4.0-2.00.02.0%Feb 12Feb 20Feb 27Mar 6Mar 13

Cumulative Flows

-20 M-10 M0 M10 M20 MFeb 12Feb 20Feb 27Mar 6Mar 13

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Historic performance and flows
Data as of 03/13/2026
1M3MYTD1Y3Y5Y
Perf.
IHE
FXH
-4.25%-4.48%
+1.32%-5.96%
+2.10%-4.88%
+27.98%+5.66%
+59.87%+6.29%
+56.57%+2.41%
Flows
IHE
FXH
+$5M-$17M
+$142M-$40M
+$129M-$40M
+$248M-$160M
+$359M-$708M
+$393M-$511M
Volatility and drawdown
3M1Y3Y5Y
Volatility
IHE
FXH
+16.09%+13.98%
+20.46%+18.35%
+15.96%+15.06%
+15.82%+16.53%
Max drawdown
IHE
FXH
-5.75%-9.26%
-14.18%-11.60%
-16.04%-18.79%
-16.12%-29.40%
Max drawdown duration
IHE
FXH
12d64d
150d143d
210d490d
669d1648d
Trading data

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IHE
FXH
Last sale
3/13/2026 at 1:30 PM
$86.56
$107.94
Previous close
03/12/2026
$86.66
$108.23
Consolidated volume
03/12/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of February 27, 2026
1-year trailing difference

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IHE
FXH
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 3/13/2026 at 1:30 PM
Live
Closed
IHE
FXH
Last price
$86.56
$107.94
1D performance
-0.12%
-0.27%
AuM$995.33 M$854.71 M
E/R0.38%0.61%
Characteristics
IHE
FXH
Management strategyPassivePassive
ProvideriSharesFirst Trust
BenchmarkDow Jones U.S. Select Pharmaceuticals IndexStrataQuant Health Care Index
N° of holdings4671
Asset classEquitiesEquities
Trailing 12m distribution yield
Join
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Inception dateMay 1, 2006May 8, 2007
ESGNoNo
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Exposure

Countries

IHE
USA
90.92%
Other
9.08%
FXH
USA
94.66%
Other
5.34%

Sectors

IHE
Health Care
96.19%
Other
3.81%
FXH
Health Care
93.03%
Other
6.97%
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Diversification

IHE

Total weight of top 15 holdings out of 15

84.8%
FXH

Total weight of top 15 holdings out of 15

33.8%

Top 15 holdings

Data as of January 31, 2026
IHE
JOHNSON&JOHNSON
23.72%
LILLY
22.21%
MERCK & CO INC
4.78%
BRISTOL-MYERS SQUIBB
4.57%
ZOETIS INC
4.44%
PFIZER
4.36%
ROYALTY PHARMA
4.08%
VIATRIS INC
4.00%
ELANCO ANIMAL HEALTH INC
3.20%
JAZZ PHARMACEUTICALS
2.65%
AXSOME THERA CMN STK
2.09%
CRINETICS PHARMACEUTICALS
1.41%
US45579U1097
1.15%
CORCEPT THERAPEUTICS
1.11%
LIGAND PHARMACEUTICALS
1.02%
FXH
ORGANON & CO
2.64%
PFIZER
2.36%
HCA HEALTHCARE
2.32%
IONIS PHARMACEUTICALS INC
2.32%
CARDINAL HEALTH
2.32%
MEDPACE HOLDINGS INC
2.30%
MOLINA HLTHCRE
2.30%
BIOGEN INC
2.27%
INCYTE
2.25%
NATERA
2.24%
US83444M1018
2.15%
LILLY
2.14%
ACADIA HEALTHCARE COMPANY
2.10%
UNIVERSAL HEALTH SERVICES
2.05%
PENUMBRA
2.04%
Frequently asked questions about IHE and FXH

How have the IHE and FXH ETFs performed in 2026?

As of March 13, 2026, IHE is up 2.1% year-to-date (YTD), while FXH has lost -4.88%. That puts IHE better performer ahead so far this year.

Which ETF is attracting more investor money: IHE or FXH?

Year-to-date, the IHE ETF saw +$129M in flows, compared to -$40M for FXH.

Which ETF is more volatile: IHE or FXH?

Over the past year, IHE had a volatility of 20.46%, while FXH experienced 18.35%.

Which ETF is bigger: IHE or FXH?

As of March 13, 2026, IHE holds $995.33 M in assets under management (AUM), while FXH manages $854.71 M.

What sectors do the IHE and FXH ETFs invest in?

IHE leans toward sectors like Health Care. Meanwhile, FXH focuses on Health Care.

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

IHE top holdings include JOHNSON&JOHNSON, LILLY and MERCK & CO INC. FXH holds in its top three: ORGANON & CO, PFIZER and HCA HEALTHCARE.

Which ETF is more diversified: IHE or FXH?

IHE holds 56 securities with 84.8% of its assets in the top 15. FXH has 75 securities and a top 15 weight of 33.8%.

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