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TRUHvsBBHETF Comparison

ETF 1

TRUH

VanEck Healthcare TruSector ETF

This fund is part of

Uncategorized Equities

+0.94%

Full TRUH fund page

VS

ETF 2

BBH

VanEck Biotech ETF

This fund is part of

US Health Care

+0.69%

Full BBH fund page

VanEck Healthcare TruSector ETF (TRUH) belongs to the Uncategorized Equities segment. VanEck Biotech ETF (BBH) is part of the US Health Care segment. TRUH's top 2 sector exposures are Healthcare and Consumer Non-Cyclicals. In contrast, BBH's top sector exposures are Healthcare. TRUH is less expensive with a Total Expense Ratio (TER) of 0.1%, versus 0.35% for BBH. Run a side-by-side ETF comparison of TRUH and BBH 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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TRUH vs BBH performance and flow charts

Performance

Cumulative Flows

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Data Services

Historic performance and flows

Data as of 10/28/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	TRUH BBH	+4.91%+3.25%	+7.86%+20.66%	n/a+33.89%	n/a+43.25%	n/a+78.15%	n/a+29.92%
Flows	TRUH BBH	-+$10M	-$289K+$22M	-+$14M	-+$16M	--$134M	--$134M

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	TRUH BBH	+17.02%+28.08%	n/a+22.46%	n/a+20.51%	n/a+21.84%
Max drawdown	TRUH BBH	-5.82%-6.32%	n/a-10.54%	n/a-22.78%	n/a-34.47%
Max drawdown duration	TRUH BBH	56d36d	n/a150d	n/a440d	n/a1525d

Trading data

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	TRUH	BBH
Last sale 10/29/2026 at 1:30 PM	$32.09	$256.90
Previous close 10/28/2026	$31.34	$253.27
Consolidated volume 10/28/2026
Average volume 30 days
Average discount or premium 30 days
Average Bid/Ask spread 30 days

Replication quality

Data as of September 30, 2026

1-year trailing difference

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TRUH

is actively managed and doesn’t replicate an index

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	TRUH	BBH
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 10/29/2026 at 1:30 PM

Live

Closed

	TRUH	BBH
Last price	$32.09	$256.90
1D performance	+2.39%	+1.43%
AuM	$0.63 M	$515.86 M
E/R	0.1%	0.35%

Characteristics

	TRUH	BBH
Management strategy	Active	Passive
Provider	VanEck	VanEck
Benchmark	-	MVIS US Listed Biotech 25 Index
N° of holdings	59	24
Asset class	-	Equities
Trailing 12m distribution yield	Join	Join
Inception date	April 1, 2026	December 20, 2011
ESG	No	No

More TRUH data on Trackinsight

More BBH data on Trackinsight

Exposure

Countries

TRUH

USA

97.67%

Other

2.33%

BBH

USA

87.73%

Other

12.27%

Sectors

TRUH

Healthcare

97.97%

Other

2.03%

BBH

Healthcare

100%

Diversification

TRUH

Total weight of top 15 holdings out of 15

71.6%

BBH

Total weight of top 15 holdings out of 15

86.35%

Top 15 holdings

Data as of August 31, 2026

TRUH

Eli Lilly & Co.

14.98%

Johnson & Johnson

10.42%

AbbVie, Inc.

7.37%

Merck & Co., Inc.

5.94%

UnitedHealth Group, Inc.

5.76%

Amgen, Inc.

3.76%

Thermo Fisher Scientific, Inc.

3.74%

Abbott Laboratories

3.14%

Gilead Sciences, Inc.

2.98%

Pfizer Inc.

2.65%

Vertex Pharmaceuticals, Inc.

2.29%

Bristol Myers Squibb Co.

2.22%

Intuitive Surgical, Inc.

2.22%

Danaher Corp.

2.19%

CVS Health Corp.

1.96%

BBH

Amgen, Inc.

15.65%

Gilead Sciences, Inc.

12.68%

Vertex Pharmaceuticals, Inc.

8.54%

Regeneron Pharmaceuticals, Inc.

6.82%

Moderna, Inc.

5.70%

Natera, Inc.

5.09%

Revolution Medicines, Inc.

5.04%

IQVIA Holdings, Inc.

5.01%

argenx SE

4.72%

Illumina, Inc.

3.35%

Biogen, Inc.

3.15%

BeOne Medicines Ltd.

3.12%

Alnylam Pharmaceuticals, Inc.

2.60%

Insmed, Inc.

2.55%

Incyte Corp.

2.35%

Frequently asked questions about TRUH and BBH

Which ETF is bigger: TRUH or BBH?

As of October 28, 2026, TRUH holds $0.63 M in assets under management (AUM), while BBH manages $515.86 M.

What sectors do the TRUH and BBH ETFs invest in?

TRUH leans toward sectors like Healthcare. Meanwhile, BBH focuses on Healthcare.

What are the top holdings of the TRUH ETF and BBH ETF?

TRUH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. BBH holds in its top three: Amgen, Inc., Gilead Sciences, Inc. and Vertex Pharmaceuticals, Inc..

TRUHvsBBHETF Comparison

VanEck Healthcare TruSector ETF

VanEck Biotech ETF

TRUH vs BBH performance and flow charts

Performance

Cumulative Flows

Get all the metrics on this page, and more, through a reliable ETF data feed

Countries

Sectors

Diversification

Top 15 holdings

Which ETF is bigger: TRUH or BBH?

As of October 28, 2026, TRUH holds $0.63 M in assets under management (AUM), while BBH manages $515.86 M.

What sectors do the TRUH and BBH ETFs invest in?

TRUH leans toward sectors like Healthcare. Meanwhile, BBH focuses on Healthcare.

What are the top holdings of the TRUH ETF and BBH ETF?

TRUH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. BBH holds in its top three: Amgen, Inc., Gilead Sciences, Inc. and Vertex Pharmaceuticals, Inc..

Which ETF is more diversified: TRUH or BBH?

TRUH holds 59 securities with 71.6% of its assets in the top 15. BBH has 24 securities and a top 15 weight of 86.35%.

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