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XLVIvsFTXHETF Comparison
The Health Care Select Sector SPDR Premium Income Fund
The Health Care Select Sector SPDR Premium Income Fund (XLVI) belongs to the Options Strategies segment. First Trust Nasdaq Pharmaceuticals ETF (FTXH) is part of the US Health Care segment. Both ETFs have the same top 3 sector exposures: and Health Care. XLVI is less expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.6% for FTXH. XLVI is up 0.28% year-to-date (YTD) with +$2M in YTD flows. FTXH performs better with 4.68% YTD performance, and +$7M in YTD flows. Run a side-by-side ETF comparison of XLVI 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.
XLVI vs FTXH performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLVI FTXH | -1.07%-1.29% | +1.89%+6.38% | +0.28%+4.68% | n/a+24.12% | n/a+42.55% | n/a+41.63% |
| Flows | XLVI FTXH | +$788K+$5M | +$3M+$9M | +$2M+$7M | -+$10M | --$13M | -+$7M |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLVI FTXH | +10.15%+15.28% | n/a+20.56% | n/a+15.87% | n/a+15.66% |
| Max drawdown | XLVI FTXH | -3.26%-4.33% | n/a-16.42% | n/a-19.32% | n/a-19.32% |
| Max drawdown duration | XLVI FTXH | 10d10d | n/a165d | n/a393d | n/a393d |
XLVI | FTXH | |
Last sale 3/12/2026 at 1:30 PM | $25.54 | $33.78 |
| Previous close 03/11/2026 | $25.92 | $34.46 |
| Consolidated volume 03/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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XLVI | FTXH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
XLVI | FTXH | |
|---|---|---|
| Last price | $25.54 | $33.78 |
| 1D performance | -1.47% | -1.96% |
| AuM | $13.24 M | $29.30 M |
| E/R | 0.35% | 0.6% |
XLVI | FTXH | |
|---|---|---|
| Management strategy | Active | Passive |
| Provider | SPDR | First Trust |
| Benchmark | - | NASDAQ US Smart Pharmaceuticals Index |
| N° of holdings | 57 | 49 |
| Asset class | - | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | July 30, 2025 | September 20, 2016 |
| 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 XLVI and FTXH ETFs performed in 2026?
As of March 11, 2026, XLVI is up 0.28% year-to-date (YTD), while FTXH has returned 4.68%. That puts FTXH better performer ahead so far this year.
Which ETF is attracting more investor money: XLVI or FTXH?
Year-to-date, the XLVI ETF saw +$2M in flows, compared to +$7M for FTXH.
Which ETF is bigger: XLVI or FTXH?
As of March 11, 2026, XLVI holds $13.24 M in assets under management (AUM), while FTXH manages $29.30 M.
What sectors do the XLVI and FTXH ETFs invest in?
XLVI leans toward sectors like Health Care. Meanwhile, FTXH focuses on Health Care.
What are the top holdings of the XLVI ETF and FTXH ETF?
XLVI top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. FTXH holds in its top three: MERCK & CO INC, JOHNSON&JOHNSON and BRISTOL-MYERS SQUIBB.
Which ETF is more diversified: XLVI or FTXH?
XLVI holds 60 securities with 69.69% of its assets in the top 15. FTXH has 50 securities and a top 15 weight of 71.63%.
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