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TRUHvsIHEETF Comparison

ETF 1
TRUH

VanEck Healthcare TruSector ETF

This fund is part of
Uncategorized Equities
+0.96%
VS
ETF 2
IHE

iShares U.S. Pharmaceuticals ETF

This fund is part of
US Health Care
+0.44%

VanEck Healthcare TruSector ETF (TRUH) belongs to the Uncategorized Equities segment. iShares U.S. Pharmaceuticals ETF (IHE) is part of the US Health Care segment. TRUH's top 2 sector exposures are Healthcare and Consumer Non-Cyclicals. In contrast, IHE's top sector exposures are Healthcare and Non-Corporate. TRUH is less expensive with a Total Expense Ratio (TER) of 0.1%, versus 0.37% for IHE. Run a side-by-side ETF comparison of TRUH and IHE 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 IHE performance and flow charts

Performance

-6.0-4.0-2.00.02.04.06.0%Sep 28Oct 5Oct 12Oct 19Oct 26

Cumulative Flows

-120 M-100 M-80 M-60 M-40 M-20 M0 MSep 28Oct 5Oct 12Oct 19Oct 26

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

Historic performance and flows
Data as of 10/27/2026
1M3MYTD1Y3Y5Y
Perf.
TRUH
IHE
+4.65%+0.31%
+10.09%+0.74%
n/a+23.10%
n/a+39.85%
n/a+95.36%
n/a+82.88%
Flows
TRUH
IHE
--$119M
-$289K-$36M
-+$505M
-+$669M
-+$694M
-+$759M
Volatility and drawdown
3M1Y3Y5Y
Volatility
TRUH
IHE
+17.56%+18.62%
n/a+18.67%
n/a+17.18%
n/a+16.77%
Max drawdown
TRUH
IHE
-5.82%-9.67%
n/a-9.67%
n/a-16.04%
n/a-16.12%
Max drawdown duration
TRUH
IHE
56d69d
n/a69d
n/a210d
n/a669d
Trading data

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TRUH
IHE
Last sale
10/28/2026 at 1:30 PM
$31.34
$103.67
Previous close
10/27/2026
$31.27
$103.35
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
IHE
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 10/28/2026 at 1:30 PM
Live
Closed
TRUH
IHE
Last price
$31.34
$103.67
1D performance
+0.22%
+0.31%
AuM$0.62 M$1.56 B
E/R0.1%0.37%
Characteristics
TRUH
IHE
Management strategyActivePassive
ProviderVanEckiShares
Benchmark-Dow Jones U.S. Select Pharmaceuticals Index
N° of holdings5957
Asset class-Equities
Trailing 12m distribution yield
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Inception dateApril 1, 2026May 1, 2006
ESGNoNo
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Exposure

Countries

TRUH
USA
97.67%
Other
2.33%
IHE
USA
95.75%
Other
4.25%

Sectors

TRUH
Healthcare
97.97%
Other
2.03%
IHE
Healthcare
99.75%
Other
0.25%

Diversification

TRUH

Total weight of top 15 holdings out of 15

71.6%
IHE

Total weight of top 15 holdings out of 15

84.42%

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%
IHE
Johnson & Johnson
22.45%
Eli Lilly & Co.
20.50%
Merck & Co., Inc.
5.00%
Bristol Myers Squibb Co.
4.84%
Royalty Pharma Plc
4.54%
Pfizer Inc.
4.48%
Viatris, Inc.
4.19%
Zoetis, Inc.
3.82%
Jazz Pharmaceuticals Plc
3.43%
Elanco Animal Health, Inc.
2.61%
Corcept Therapeutics, Inc.
2.36%
Crinetics Pharmaceuticals, Inc.
1.95%
Axsome Therapeutics, Inc.
1.87%
Ligand Pharmaceuticals, Inc.
1.24%
Definium Therapeutics, Inc.
1.12%
Frequently asked questions about TRUH and IHE

Which ETF is bigger: TRUH or IHE?

As of October 27, 2026, TRUH holds $0.62 M in assets under management (AUM), while IHE manages $1.56 B.

What sectors do the TRUH and IHE ETFs invest in?

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

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

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

Which ETF is more diversified: TRUH or IHE?

TRUH holds 59 securities with 71.6% of its assets in the top 15. IHE has 57 securities and a top 15 weight of 84.42%.

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