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TMEDvsXLVIETF Comparison
The Health Care Select Sector SPDR Premium Income Fund
T. Rowe Price Health Care ETF (TMED) belongs to the US Health Care segment. The Health Care Select Sector SPDR Premium Income Fund (XLVI) is part of the Options Strategies segment. TMED's top 3 sector exposures are Health Care and Financials. In contrast, XLVI's top sector exposures are Health Care TMED is more expensive with a Total Expense Ratio (TER) of 0.44%, versus 0.35% for XLVI. TMED is up 0.13% year-to-date (YTD) with +$3M in YTD flows. XLVI performs better with 0.28% YTD performance, and +$2M in YTD flows. Run a side-by-side ETF comparison of TMED 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.
TMED vs XLVI performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | TMED XLVI | +1.16%-1.07% | +1.57%+1.89% | +0.13%+0.28% | n/an/a | n/an/a | n/an/a |
| Flows | TMED XLVI | +$1M+$788K | +$4M+$3M | +$3M+$2M | -- | -- | -- |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | TMED XLVI | +16.57%+10.15% | n/an/a | n/an/a | n/an/a |
| Max drawdown | TMED XLVI | -7.14%-3.26% | n/an/a | n/an/a | n/an/a |
| Max drawdown duration | TMED XLVI | 47d10d | n/an/a | n/an/a | n/an/a |
TMED | XLVI | |
Last sale 3/12/2026 at 3:13 PM | $28.95 | $25.92 |
| Previous close 03/11/2026 | $29.57 | $25.98 |
| Consolidated volume 03/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
TMED | XLVI | |
|---|---|---|
| Last price | $28.95 | $25.92 |
| 1D performance | -2.11% | -0.23% |
| AuM | $19.32 M | $13.24 M |
| E/R | 0.44% | 0.35% |
TMED | XLVI | |
|---|---|---|
| Management strategy | Active | Active |
| Provider | T. Rowe Price | SPDR |
| Benchmark | - | - |
| N° of holdings | 74 | 57 |
| Asset class | - | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 11, 2025 | July 30, 2025 |
| 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 TMED and XLVI ETFs performed in 2026?
As of March 10, 2026, TMED is up 0.13% year-to-date (YTD), while XLVI has returned 0.28%. That puts XLVI better performer ahead so far this year.
Which ETF is attracting more investor money: TMED or XLVI?
Year-to-date, the TMED ETF saw +$3M in flows, compared to +$2M for XLVI.
Which ETF is bigger: TMED or XLVI?
As of March 10, 2026, TMED holds $19.32 M in assets under management (AUM), while XLVI manages $13.24 M.
What sectors do the TMED and XLVI ETFs invest in?
TMED leans toward sectors like Health Care. Meanwhile, XLVI focuses on Health Care.
What are the top holdings of the TMED ETF and XLVI ETF?
TMED top holdings include LILLY, UNITEDHEALTH GRP and GILEAD SCIENCES. XLVI holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: TMED or XLVI?
TMED holds 80 securities with 56.46% of its assets in the top 15. XLVI has 60 securities and a top 15 weight of 69.69%.
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