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XLVIvsTMEDETF 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. T. Rowe Price Health Care ETF (TMED) 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 0.44% for TMED. XLVI is up 0.28% year-to-date (YTD) with +$2M in YTD flows. TMED performs worse with 0.13% YTD performance, and +$3M in YTD flows. Run a side-by-side ETF comparison of XLVI and TMED 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 TMED performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLVI TMED | -1.07%+1.16% | +1.89%+1.57% | +0.28%+0.13% | n/an/a | n/an/a | n/an/a |
| Flows | XLVI TMED | +$788K+$1M | +$3M+$4M | +$2M+$3M | -- | -- | -- |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLVI TMED | +10.15%+16.57% | n/an/a | n/an/a | n/an/a |
| Max drawdown | XLVI TMED | -3.26%-7.14% | n/an/a | n/an/a | n/an/a |
| Max drawdown duration | XLVI TMED | 10d47d | n/an/a | n/an/a | n/an/a |
XLVI | TMED | |
Last sale 3/11/2026 at 7:59 PM | $25.92 | $28.95 |
| Previous close 03/11/2026 | $25.98 | $29.57 |
| Consolidated volume 03/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
XLVI | TMED | |
|---|---|---|
| Last price | $25.92 | $28.95 |
| 1D performance | -0.23% | -2.11% |
| AuM | $13.24 M | $19.32 M |
| E/R | 0.35% | 0.44% |
XLVI | TMED | |
|---|---|---|
| Management strategy | Active | Active |
| Provider | SPDR | T. Rowe Price |
| Benchmark | - | - |
| N° of holdings | 57 | 74 |
| Asset class | - | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | July 30, 2025 | June 11, 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 XLVI and TMED ETFs performed in 2026?
As of March 11, 2026, XLVI is up 0.28% year-to-date (YTD), while TMED has returned 0.13%. That puts XLVI better performer ahead so far this year.
Which ETF is attracting more investor money: XLVI or TMED?
Year-to-date, the XLVI ETF saw +$2M in flows, compared to +$3M for TMED.
Which ETF is bigger: XLVI or TMED?
As of March 11, 2026, XLVI holds $13.24 M in assets under management (AUM), while TMED manages $19.32 M.
What sectors do the XLVI and TMED ETFs invest in?
XLVI leans toward sectors like Health Care. Meanwhile, TMED focuses on Health Care.
What are the top holdings of the XLVI ETF and TMED ETF?
XLVI top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. TMED holds in its top three: LILLY, UNITEDHEALTH GRP and GILEAD SCIENCES.
Which ETF is more diversified: XLVI or TMED?
XLVI holds 60 securities with 69.69% of its assets in the top 15. TMED has 80 securities and a top 15 weight of 56.46%.
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