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PBPHvsXLVETF Comparison

ETF 1
PBPH

Portfolio Building Block World Pharma and Biotech Index ETF

This fund is part of
DM Large & Mid Cap
-0.57%
VS
ETF 2
XLV

State Street Health Care Select Sector SPDR ETF

This fund is part of
US Health Care
-0.77%

Portfolio Building Block World Pharma and Biotech Index ETF (PBPH) belongs to the DM Large & Mid Cap segment. State Street Health Care Select Sector SPDR ETF (XLV) is part of the US Health Care segment. PBPH's top 3 sector exposures are Health Care and Consumer Staples. In contrast, XLV's top sector exposures are Health Care  PBPH is more expensive with a Total Expense Ratio (TER) of 0.13%, versus 0.08% for XLV. PBPH is down -2.73% year-to-date (YTD) with +$787M in YTD flows. XLV performs worse with -7.37% YTD performance, and +$904M in YTD flows. Run a side-by-side ETF comparison of PBPH and XLV 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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PBPH vs XLV performance and flow charts

Performance

-2.0-1.00.01.02.03.04.0%Mar 30Apr 7Apr 14Apr 21Apr 28

Cumulative Flows

-400 M-300 M-200 M-100 M0 M100 M200 M300 MMar 30Apr 7Apr 14Apr 21Apr 28

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Historic performance and flows
Data as of 04/28/2026
1M3MYTD1Y3Y5Y
Perf.
PBPH
XLV
-1.83%-0.71%
-5.37%-6.82%
-2.73%-7.37%
n/a+4.34%
n/a+11.78%
n/a+27.17%
Flows
PBPH
XLV
+$39M-$209M
+$757M-$416M
+$787M+$904M
-+$716M
--$4.50B
-+$7.16B
Volatility and drawdown
3M1Y3Y5Y
Volatility
PBPH
XLV
+16.32%+14.91%
n/a+15.81%
n/a+13.69%
n/a+14.58%
Max drawdown
PBPH
XLV
-9.94%-10.51%
n/a-10.51%
n/a-17.05%
n/a-17.05%
Max drawdown duration
PBPH
XLV
70d59d
n/a59d
n/a444d
n/a444d
Trading data

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PBPH
XLV
Last sale
4/30/2026 at 7:33 PM
$25.06
$146.09
Previous close
04/29/2026
$24.30
$142.84
Consolidated volume
04/29/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of March 31, 2026
1-year trailing difference

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PBPH
XLV
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 4/30/2026 at 7:33 PM
Live
Closed
PBPH
XLV
Last price
$25.06
$146.09
1D performance
+3.14%
+2.28%
AuM$725.81 M$37.43 B
E/R0.13%0.08%
Characteristics
PBPH
XLV
Management strategyPassivePassive
ProviderTidalState Street Investment Management
BenchmarkBITA Global Pharma and Biotech Select IndexS&P Health Care Select Sector Index
N° of holdings4956
Asset class-Equities
Trailing 12m distribution yield
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Inception dateNovember 24, 2025December 16, 1998
ESGNoNo
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Exposure

Countries

PBPH
USA
63.05%
Switzerland
10.48%
Other
26.47%
XLV
USA
97.26%
Other
2.74%

Sectors

PBPH
Health Care
85.65%
Other
14.35%
XLV
Health Care
98.29%
Other
1.71%
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Diversification

PBPH

Total weight of top 15 holdings out of 15

71.34%
XLV

Total weight of top 15 holdings out of 15

70.96%

Top 15 holdings

Data as of March 31, 2026
PBPH
LILLY
12.31%
JOHNSON&JOHNSON
9.59%
ABBVIE
6.19%
MERCK & CO INC
4.79%
NOVARTIS
4.64%
CH1499059983
4.47%
GILEAD SCIENCES
4.42%
AMGEN-T
4.38%
PFIZER
4.13%
BRISTOL-MYERS SQUIBB
3.18%
DK0062498333
2.96%
VERTEX PHARMACEUTICALS
2.94%
SANOFI SA
2.68%
GSK PLC
2.67%
REGENERON PHARMACEUTICALS
2.00%
XLV
LILLY
13.74%
JOHNSON&JOHNSON
11.10%
ABBVIE
7.25%
MERCK & CO INC
5.63%
UNITEDHEALTH GRP
4.62%
AMGEN-T
3.57%
THERMO FISHER SCIENTIFIC
3.48%
ABBOTT LABS
3.37%
GILEAD SCIENCES
3.26%
INTUITIVE SURGICAL
3.09%
PFIZER
3.01%
BRISTOL-MYERS SQUIBB
2.33%
DANAHER
2.25%
VERTEX PHARMACEUTICALS
2.14%
STRYKER
2.13%
Frequently asked questions about PBPH and XLV

How have the PBPH and XLV ETFs performed in 2026?

As of April 28, 2026, PBPH is down -2.73% year-to-date (YTD), while XLV has lost -7.37%. That puts PBPH better performer ahead so far this year.

Which ETF is attracting more investor money: PBPH or XLV?

Year-to-date, the PBPH ETF saw +$787M in flows, compared to +$904M for XLV.

Which ETF is bigger: PBPH or XLV?

As of April 28, 2026, PBPH holds $725.81 M in assets under management (AUM), while XLV manages $37.43 B.

What sectors do the PBPH and XLV ETFs invest in?

PBPH leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.

What are the top holdings of the PBPH ETF and XLV ETF?

PBPH top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.

Which ETF is more diversified: PBPH or XLV?

PBPH holds 52 securities with 71.34% of its assets in the top 15. XLV has 59 securities and a top 15 weight of 70.96%.

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