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Direxion Daily Pharmaceutical & Medical Bull 3X ETF

PILLNYSE ArcaDThis fund multiplies its index's move each day and resets that multiple daily. Because daily returns compound, its long-run return can differ from the headline multiple.

$13.70−1.38 (−9.15%)

At close: Oct 13, 2026, 4:00 PM

Intraday session: down, 78 prints from 15.08 to 13.70. Range 13.66 to 14.87. Use the arrow keys to read each point.14.0014.2514.5014.7510 AM12 PM2 PM4 PM
Expense ratio
1.22%
Fund size
$16M
1Y total return
+95.5%
Yield · Last 12 months
0.40%
Holdings
67
Avg volume · 30D
0.1M sh
NAV per share
$15.49
52W range
low $7.49high $24.15
Launched
Filings
SEC EDGAR

The ETF.net PILL Grade

Based on 4 of 6 pillars

D

Score 26 out of 100

Rank
28 of 31
Six-pillar profile for PILL. Scores out of 100: Cost 13, Risk 56, Mission not scored, Tradability 25, Holdings not scored, Durability 22. Strongest: Risk (56). Weakest: Cost (13). Based on 4 of 6 pillars.

Score 26 of 100 falls in the D band. A is 70 or higher, B 55 to under 70, C 40 to under 55, D 25 to under 40, F under 25.

  • Cost

    The fund’s net expense ratio, ranked against its category.
    F13 out of 100
    Rank 27 of 31
  • Mission

    Whether the fund did what it promised, tested against its stated mandate.
    Not scored
  • Risk

    How the fund held up when markets fell: downside volatility, drawdowns and tail loss.
    B56 out of 100
    Rank 12 of 30
  • Tradability

    How easy the fund is to trade: daily volume, and how far its price strays from net asset value.
    D25 out of 100
    Rank 28 of 31
  • Holdings

    How concentrated the fund is, and how complete and current its disclosed holdings are.
    Not scored
  • Durability

    Whether the fund is likely to stay open, judged by its age, its assets and its issuer’s assets.
    F22 out of 100
    Rank 29 of 31

Our read on PILL

ETF.net Research

DPharma with the volume knob at 3x. PILL aims for 300% of the daily move in an equal-weighted index of US drugmakers, a rare single-industry leveraged bet where a small-cap counts about as much as a giant. The daily reset makes it a short-horizon tool.

Stated mandate

The fund seeks daily investment results, before fees and expenses, equal to 300% of the performance of the S&P Pharmaceuticals Select Industry Index.

Why people hold it

  1. 01One of the few US funds offering 3x daily exposure to a single industry: it targets 300% of the daily move of the S&P Pharmaceuticals Select Industry Index, with the leverage reset every day.direxion.com
  2. 02The index is modified equal-weighted across the pharmaceutical names in the S&P Total Market Index, so its roughly 50 holdings give mid- and small-cap drugmakers real weight instead of burying them under the mega-caps.finance.yahoo.com
  3. 03Live since 2017 from Direxion, a house built around daily leveraged and inverse funds, so the plumbing has run through several drug-pricing and biotech cycles.direxion.com

Worth knowing

  1. 01At 1.22% a year it costs more than broad-index 3x peers like FAS (0.92%) and UDOW (0.95%). Leverage on a niche industry is priced accordingly.
  2. 02Hold past one day and the math shifts: returns follow the path, and choppy stretches can erode value even if pharma ends up where it started. Direxion states the fund should not be expected to deliver 3x the index's cumulative return beyond a day.direxion.com
  3. 03It is non-diversified and tied to one industry, and it does not trade with the depth of the headline broad-market 3x funds, so spreads and order type matter more on entry and exit.finance.yahoo.com

PILL Holdings

As of Oct 13, 2026
Asset class
Stocks
Holdings
67
Top-10 weight
79%
Largest holding
Spsiph Swap Asset Leg (Spsiphctl)32.6%

Sectors

  • Health Care100.0%

Geography

  • United States98.19%
  • Ireland1.81%
The fund’s holdings, weight-ordered — page 1 of 5.
#TickerCompanyWeight %SharesMarket valueIn ETFs
001—Spsiph Swap Asset Leg (Spsiphctl)32.61%2,354$17M1
002—Spsiph Swap Asset Leg (Spsiphubl)16.31%1,177$9M1
003—Spsiph Swap Asset Leg (Spsiphjpl)11.08%800$6M1
004—Spsiph Swap Asset Leg (Spsiphbcl)8.42%608$4M1
005—Goldman Finl Sq Trsry Inst 5067.30%3,900,536$4M98
006—Dreyfus Govt Cash Man Ins1.36%724,047$724K108
007XERSXeris Biopharma Holdings Inc0.62%31,757$333K68
008MANEVeradermics Inc0.60%2,457$322K58
009PCRXPacira Biosciences Inc0.58%8,533$310K121
010AMRXAmneal Pharmaceuticals Inc0.53%14,194$283K131
011VTRSViatris Inc0.49%14,839$262K271
012PRGOPerrigo Co PLC0.48%17,074$257K92
013CORTCorcept Therapeutics Inc0.48%2,117$257K149
014LGNDLigand Pharmaceuticals0.48%850$257K131
015LLYEli Lilly & Co0.48%217$256K583

Showing 1–15 of 67 holdings

PILL Performance

Launched Nov 15, 2017

Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.

Not enough history yet.
PILL$19,551
SPY tracks large US stocks. It provides market context, rather than representing this fund’s strategy, asset class or investment benchmark.$12,044
Oct 10, 2025 to Oct 12, 2026. PILL $19,551. SPY $12,044. Use the arrow keys to read each point.$8,070$20,362$32,654Oct 2025Apr 2026Oct 2026

Oct 10, 2025 – Oct 12, 2026

Returns run to the Oct 12, 2026 close, with cash distributions reinvested. Each period starts on the same date that many months or years earlier. Periods over one year show the average yearly return.

Trailing total return for PILL. Periods over one year show the average yearly return.
PeriodPILL
Year to date+22.9%
1 month−16.5%
3 months−21.9%
1 year+95.5%
3 yearsper year+35.7%
5 yearsper year−2.2%
10 yearsFund is under 10 years oldper year—

As of the close, with distributions reinvested.

Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.

Annual total returns for PILL
YearReturn barPILL
2026 YTD+22.9%
2025+75.1%
2024−7.3%
2023−12.1%
2022−43.2%
2021−37.3%
2020+0.3%

PILL in the news

Filtered to PILL · 3x Leveraged Long · Direxion

PILL Dividends

Adds up every distribution paid per share over the last 12 months, divided by the last completed close. Distributions are counted by ex-date. Data through Oct 12, 2026.
0.40%Last 12 months
Payout per share
$0.06Last 12 months
Last payment
$0.00094 per share
Paid on
Shares bought on or after this date do not qualify for this distribution.
Frequency
Quarterly

Distribution history

2017–2026

One bar per payment. 28 payments from 2017 to 2026 YTD. Dec 19, 2017 $0.01; Jun 19, 2018 $0.05; Sep 25, 2018 $0.04; Dec 27, 2018 $0.10; Mar 19, 2019 $0.06; Jun 25, 2019 $0.02; Sep 24, 2019 $0.02; Dec 23, 2019 $0.00033; Dec 21, 2021 $0.00007; Mar 22, 2022 $0.0082; Jun 22, 2022 $0.0036; Sep 20, 2022 $0.02; Dec 20, 2022 $0.03; Mar 21, 2023 $0.02; Jun 21, 2023 $0.05; Sep 19, 2023 $0.04; Dec 21, 2023 $0.04; Mar 19, 2024 $0.03; Jun 25, 2024 $0.02; Sep 24, 2024 $0.03; Dec 23, 2024 $0.01; Mar 25, 2025 $0.02; Jun 24, 2025 $0.02; Sep 23, 2025 $0.0099; Dec 23, 2025 $0.03; Mar 24, 2026 $0.01; Jun 23, 2026 $0.02; Sep 22, 2026 $0.00094. Use the arrow keys to read each point.2017201820192020202120222023202420252026YTD
Ex-datePay dateAmount per share
Sep 22, 2026Sep 29, 2026$0.00094
Jun 23, 2026Jun 30, 2026$0.02
Mar 24, 2026Mar 31, 2026$0.01
Dec 23, 2025Dec 31, 2025$0.03
Sep 23, 2025Sep 30, 2025$0.0099
Jun 24, 2025Jul 1, 2025$0.02
Mar 25, 2025Apr 1, 2025$0.02
Dec 23, 2024Dec 31, 2024$0.01
Sep 24, 2024Oct 1, 2024$0.03
Jun 25, 2024Jul 2, 2024$0.02
Mar 19, 2024Mar 26, 2024$0.03
Dec 21, 2023Dec 29, 2023$0.04

PILL Risk

This fund targets a multiple of the daily move of its index and resets daily. Hold it longer than one reset and compounding makes the return diverge from that target. In choppy markets it can lose value even when the index ends flat.

How much the fund’s monthly returns vary, scaled to a year.
64.1%
Annualised · 36 months to Sep 2026
How it’s calculated: standard deviation

The sample standard deviation of monthly total returns, multiplied by the square root of 12.

Uses up to 36 complete months, with at least 12 required. Total returns include reinvested distributions.

Return above 3-month US Treasury bills per unit of volatility.
0.66
vs 3-month T-bills · to Sep 2026
How it’s calculated: Sharpe ratio

Subtract each month’s Treasury-bill return from the fund’s monthly total return.

Divide the average of those excess returns by their sample standard deviation, then multiply by the square root of 12.

Uses up to 36 complete months, with at least 12 required. Each month uses the Treasury yield quoted at the end of the previous month.

The largest fall from a peak to the low that followed.
−82.0%
Trough Apr 2025
How it’s calculated: maximum drawdown

The largest percentage decline from an earlier peak, using total returns with reinvested distributions.

Uses up to five years through the last close, with at least 12 months required.

How strongly the fund’s returns move with its asset-class index.
1.80
vs its asset-class index
How it’s calculated: beta

The beta figure is supplied by FMP. The comparison index depends on the fund’s broad asset class.

PILL Cost

Expense ratio1.22%
  • The middle half of 3x Leveraged Long funds
  • Median 0.98%

25 of the 30 3x Leveraged Long funds charge less.

PILL costs $122.00 a year on $10,000. The median 3x Leveraged Long fund costs $98.50.

Other funds in 3x Leveraged Long