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TRUHvsFTXHETF Comparison

ETF 1

TRUH

VanEck Healthcare TruSector ETF

This fund is part of

Uncategorized Equities

+0.96%

Full TRUH fund page

VS

ETF 2

FTXH

First Trust Nasdaq Pharmaceuticals ETF

This fund is part of

US Health Care

+0.44%

Full FTXH fund page

VanEck Healthcare TruSector ETF (TRUH) belongs to the Uncategorized Equities segment. First Trust Nasdaq Pharmaceuticals ETF (FTXH) is part of the US Health Care segment. TRUH's top 2 sector exposures are Healthcare and Consumer Non-Cyclicals. In contrast, FTXH's top sector exposures are Healthcare. TRUH is less expensive with a Total Expense Ratio (TER) of 0.1%, versus 0.6% for FTXH. Run a side-by-side ETF comparison of TRUH and FTXH 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 FTXH performance and flow charts

Performance

Cumulative Flows

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Data Services

Historic performance and flows

Data as of 10/27/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	TRUH FTXH	+4.65%+2.96%	+10.09%+10.54%	n/a+31.42%	n/a+46.75%	n/a+87.61%	n/a+80.45%
Flows	TRUH FTXH	-+$39M	-$289K+$256M	-+$1.02B	-+$1.02B	-+$1.02B	-+$1.02B

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	TRUH FTXH	+17.56%+19.01%	n/a+17.63%	n/a+17.11%	n/a+16.45%
Max drawdown	TRUH FTXH	-5.82%-5.45%	n/a-7.50%	n/a-19.32%	n/a-19.32%
Max drawdown duration	TRUH FTXH	56d57d	n/a99d	n/a393d	n/a393d

Trading data

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	TRUH	FTXH
Last sale 10/28/2026 at 1:30 PM	$31.34	$43.25
Previous close 10/27/2026	$31.27	$43.12
Consolidated volume 10/27/2026
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	FTXH
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 10/28/2026 at 1:30 PM

Live

Closed

	TRUH	FTXH
Last price	$31.34	$43.25
1D performance	+0.22%	+0.29%
AuM	$0.62 M	$1.15 B
E/R	0.1%	0.6%

Characteristics

	TRUH	FTXH
Management strategy	Active	Passive
Provider	VanEck	First Trust
Benchmark	-	NASDAQ US Smart Pharmaceuticals Index
N° of holdings	59	49
Asset class	-	Equities
Trailing 12m distribution yield	Join	Join
Inception date	April 1, 2026	September 20, 2016
ESG	No	No

More TRUH data on Trackinsight

More FTXH data on Trackinsight

Exposure

Countries

TRUH

USA

97.67%

Other

2.33%

FTXH

USA

95.82%

Other

4.18%

Sectors

TRUH

Healthcare

97.97%

Other

2.03%

FTXH

Healthcare

99.79%

Other

0.21%

Diversification

TRUH

Total weight of top 15 holdings out of 15

71.6%

FTXH

Total weight of top 15 holdings out of 15

67.15%

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%

FTXH

Merck & Co., Inc.

7.62%

AbbVie, Inc.

7.05%

Eli Lilly & Co.

6.92%

Johnson & Johnson

6.87%

Bristol Myers Squibb Co.

6.75%

Amgen, Inc.

3.56%

Biogen, Inc.

3.54%

Viatris, Inc.

3.51%

Vertex Pharmaceuticals, Inc.

3.48%

Regeneron Pharmaceuticals, Inc.

3.33%

Cardinal Health, Inc.

3.29%

Pfizer Inc.

3.25%

Gilead Sciences, Inc.

3.16%

Incyte Corp.

2.43%

United Therapeutics Corp.

2.39%

Frequently asked questions about TRUH and FTXH

Which ETF is bigger: TRUH or FTXH?

As of October 27, 2026, TRUH holds $0.62 M in assets under management (AUM), while FTXH manages $1.15 B.

What sectors do the TRUH and FTXH ETFs invest in?

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

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

TRUH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. FTXH holds in its top three: Merck & Co., Inc., AbbVie, Inc. and Eli Lilly & Co..

TRUHvsFTXHETF Comparison

VanEck Healthcare TruSector ETF

First Trust Nasdaq Pharmaceuticals ETF

TRUH vs FTXH 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 FTXH?

As of October 27, 2026, TRUH holds $0.62 M in assets under management (AUM), while FTXH manages $1.15 B.

What sectors do the TRUH and FTXH ETFs invest in?

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

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

TRUH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. FTXH holds in its top three: Merck & Co., Inc., AbbVie, Inc. and Eli Lilly & Co..

Which ETF is more diversified: TRUH or FTXH?

TRUH holds 59 securities with 71.6% of its assets in the top 15. FTXH has 49 securities and a top 15 weight of 67.15%.

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