---
ticker: "MEDX"
name: "Horizon Kinetics Medical ETF"
url: "https://etf.net/etf/MEDX"
grade: "D"
score: 28
graded_at: "2026-10-12"
category: "US Active Sector"
category_rank: "33 of 35"
methodology: "https://etf.net/methodology"
---

# MEDX: Horizon Kinetics Medical ETF

Grade **D**, Score 28 of 100. Rank 33 of 35 in US Active Sector.

Graded Oct 12, 2026.

## Grade pillars

| Pillar | Score | Category rank |
| --- | --- | --- |
| Cost | 19 | 28 of 35 |
| Mission | Not scored | — |
| Risk | 47 | 20 of 35 |
| Tradability | 24 | 30 of 35 |
| Holdings | 28 | 34 of 35 |
| Durability | 45 | 24 of 35 |

## Top holdings

The fund holds 33 positions. These are the largest 30, by weight.

| # | Ticker | Name | Weight |
| --- | --- | --- | --- |
| 1 | LLY | Eli Lilly & Co | 18.87% |
| 2 | ABBV | AbbVie Inc | 10.12% |
| 3 | — | Us Bank Mmda - Usbgfs 7 06/01/2031 | 8.25% |
| 4 | NVS | Novartis AG | 6.57% |
| 5 | JNJ | Johnson & Johnson | 5.99% |
| 6 | AMGN | Amgen Inc | 4.66% |
| 7 | MRK | Merck & Co Inc | 4.66% |
| 8 | ALKS | Alkermes PLC | 4.46% |
| 9 | AZN | AstraZeneca PLC | 4.35% |
| 10 | BMY | Bristol-Myers Squibb Co | 4.26% |
| 11 | PFE | Pfizer Inc | 3.49% |
| 12 | BIIB | Biogen Inc | 3.35% |
| 13 | ALNY | Alnylam Pharmaceuticals Inc | 2.75% |
| 14 | IONS | Ionis Pharmaceuticals Inc | 2.69% |
| 15 | CRSP | CRISPR Therapeutics AG | 2.69% |
| 16 | REGN | Regeneron Pharmaceuticals Inc | 2.57% |
| 17 | GSK | Gsk PLC | 2.50% |
| 18 | BEAM | Beam Therapeutics Inc | 1.18% |
| 19 | GALT | Galectin Therapeutics Inc | 1.01% |
| 20 | REPL | Replimune Group Inc | 0.92% |
| 21 | NTLA | Intellia Therapeutics Inc | 0.90% |
| 22 | SDZNY | Sandoz Group AG | 0.77% |
| 23 | HLN | Haleon PLC | 0.63% |
| 24 | VNDA | Vanda Pharmaceuticals Inc | 0.56% |
| 25 | EDIT | Editas Medicine Inc | 0.44% |
| 26 | GEHC | GE HealthCare Technologies Inc | 0.30% |
| 27 | VTRS | Viatris Inc | 0.30% |
| 28 | BCYC | Bicycle Therapeutics PLC | 0.27% |
| 29 | — | Cash & Other | 0.14% |
| 30 | ALLO | Allogene Therapeutics Inc | 0.13% |

Source: etf.net, https://etf.net/etf/MEDX. Please cite the page URL.