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IXJvsXLVIETF Comparison
The Health Care Select Sector SPDR Premium Income Fund
iShares Global Healthcare ETF (IXJ) belongs to the Global Large Cap segment. The Health Care Select Sector SPDR Premium Income Fund (XLVI) is part of the Options Strategies segment. IXJ's top 3 sector exposures are Health Care, Consumer Discretionary and Consumer Staples. In contrast, XLVI's top sector exposures are Health Care, IXJ is more expensive with a Total Expense Ratio (TER) of 0.4%, versus 0.35% for XLVI. IXJ is down -2.64% year-to-date (YTD) with -$688M in YTD flows. XLVI performs better with -1.41% YTD performance, and +$2M in YTD flows. Run a side-by-side ETF comparison of IXJ and XLVI below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
IXJ vs XLVI performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IXJ XLVI | -5.34%-2.60% | -1.68%-0.20% | -2.64%-1.41% | +5.89%n/a | +24.23%n/a | +34.09%n/a |
| Flows | IXJ XLVI | -$599M+$788K | -$664M+$3M | -$688M+$2M | -$427M- | -$883M- | +$219M- |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IXJ XLVI | +13.35%+10.72% | +16.82%n/a | +13.09%n/a | +13.81%n/a |
| Max drawdown | IXJ XLVI | -6.98%-4.68% | -10.89%n/a | -18.04%n/a | -18.04%n/a |
| Max drawdown duration | IXJ XLVI | 11d11d | 196dn/a | 490dn/a | 490dn/a |
IXJ | XLVI | |
Last sale 3/13/2026 at 1:30 PM | $94.30 | $25.46 |
| Previous close 03/12/2026 | $94.78 | $25.54 |
| Consolidated volume 03/12/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Create an account to view replication metrics
IXJ | XLVI | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
IXJ | XLVI | |
|---|---|---|
| Last price | $94.30 | $25.46 |
| 1D performance | -0.51% | -0.32% |
| AuM | $3.73 B | $13.01 M |
| E/R | 0.4% | 0.35% |
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 IXJ and XLVI ETFs performed in 2026?
As of March 12, 2026, IXJ is down -2.64% year-to-date (YTD), while XLVI has lost -1.41%. That puts XLVI better performer ahead so far this year.
Which ETF is attracting more investor money: IXJ or XLVI?
Year-to-date, the IXJ ETF saw -$688M in flows, compared to +$2M for XLVI.
Which ETF is bigger: IXJ or XLVI?
As of March 12, 2026, IXJ holds $3.73 B in assets under management (AUM), while XLVI manages $13.01 M.
What sectors do the IXJ and XLVI ETFs invest in?
IXJ leans toward sectors like Health Care. Meanwhile, XLVI focuses on Health Care.
What are the top holdings of the IXJ ETF and XLVI ETF?
IXJ top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. XLVI holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: IXJ or XLVI?
IXJ holds 115 securities with 55.7% of its assets in the top 15. XLVI has 60 securities and a top 15 weight of 69.69%.
Healthcare Funds on the Rise
Healthcare Stocks Rebound
Continued tightening of the U.S. labor market
Active Trader Report: Use of Leveraged & Inverse ETFs Way Up
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