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FTXH vs IHE

First Trust Nasdaq Pharmaceuticals ETF

FTXHBNasdaq

iShares U.S. Pharmaceuticals ETF

IHEBNYSE Arca

Overlap

Expense ratio

IHE −0.23pt a year

FTXH0.60%IHE0.37%

Avg volume · 30D

FTXH 1.9×the volume

FTXH508KIHE267K

10Y return · a year

Same figure. Both funds show the same value, so neither comes out ahead.

FTXH+10.7%IHE+10.7%

FTXH vs IHE Performance

Nov 2, 2021 – Nov 2, 2026

+75.6%FTXH+82.8%IHE

Nov 2, 2021 to Nov 2, 2026. FTXH +75.6%. IHE +82.8%. Use the arrow keys to read each point.0%20%40%60%Nov 2021May 2024Nov 2026
Expense ratio
FTXH 0.60%
IHE 0.37%, better
Fund size
FTXH $1.19B
IHE $1.62B
1Y total return
FTXH +46.7%, better
IHE +43.0%
Yield (12M)
FTXH 0.66%
IHE 1.34%, better
Holdings
FTXH 51
IHE 55
Avg volume (30D)
FTXH 508K sh, better
IHE 267K sh
NAV per share
FTXH $44.20
IHE $107.57
52W range

ETF.net Grade

FTXH: Cost 21, Risk 75, Mission 77, Tradability 67, Holdings 73, Durability 77. IHE: Cost 64, Risk 75, Mission not scored, Tradability 80, Holdings 32, Durability 87.
Pillar letters and Scores for FTXH, IHE, with each pillar’s weight
PillarFTXHIHE
Cost30% weightF21B64Higher
Mission25% weightA77Not scored
Risk15% weightA75A75
Tradability15% weightB67A80Higher
Holdings10% weightA73HigherD32
Durability5% weightA77A87Higher

Rank among Pharma & Therapeutics funds

Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

Same Category. FTXH and IHE are both graded against the same 9 Pharma & Therapeutics funds, so their Grades compare head to head.

Pharma & Therapeutics⁠

Category · 9 funds
See all 9 ›

IHE ranks 2nd and FTXH 6th of 9 funds in the Pharma & Therapeutics Category.

  1. Rank 1APPHVanEck Pharmaceutical ETFScore 74
  2. Rank 2BIHEiShares U.S. Pharmaceuticals ETFScore 66
  3. Rank 2BXPHState Street SPDR S&P Pharmaceuticals ETFScore 66
  4. Rank 5BPJPInvesco Pharmaceuticals ETFScore 63
  5. Rank 6BFTXHFirst Trust Nasdaq Pharmaceuticals ETFScore 57
  6. Rank 7CTHNRAmplify Weight Loss Drug & Treatment ETFScore 44

Our read on each fund

ETF.net Research

FTXHBFirst Trust Nasdaq Pharmaceuticals ETF

IHEBiShares U.S. Pharmaceuticals ETF

In short

FTXH Most pharma funds just size positions by market cap. FTXH screens US pharma stocks for liquidity, then ranks and weights them on value, momentum and profitability, so the biggest drugmaker isn't automatically the biggest holding.

IHE The domestic purist of pharma funds: about 60 US drug and vaccine makers, weighted by size, no foreign names riding along. Running since 2006, it is the plain cap-weighted take on Big Pharma.

Stated mandate

FTXH The fund seeks returns broadly matching the price and yield of the Nasdaq US Smart PharmaceuticalsTM Index before expenses. It uses an indexing approach intended to replicate that index’s holdings and weights, targeting 95% correlation, without assuring success.

IHE The fund seeks to track an index of U.S. companies in the pharmaceuticals sector, giving investors targeted exposure to domestic drug manufacturers and vaccine producers.

Why people hold it

  • FTXH Weights follow a factor scorecard (value, momentum, profitability) rather than company size, a different recipe from the plain cap-weighted pharma funds it sits beside.ftportfolios.com
  • Stays in its lane: US pharmaceutical companies, not a broad health care blend of biotech, device makers and insurers.ftportfolios.com
  • Live since 2016 with a few hundred million in assets, it changes hands actively and pays distributions quarterly.
  • Index replication is the whole job here, and the fund has kept close to the Nasdaq US Smart Pharmaceuticals Index it advertises.ftportfolios.com
  • IHE Costs 0.37% a year against a 0.57% median for pharma funds, landing within a basis point or two of the cheapest options in the group.
  • Tracks the Dow Jones U.S. Select Pharmaceuticals Index: domestic drug and vaccine makers only, not the US-listed foreign pharma that PPH's index also picks up.vaneck.com
  • Trading since 2006 under the iShares banner, now a billion-dollar-plus fund with moderate daily volume and quarterly distributions.
  • Sits in the upper half of its pharma peer group on our review, one of the sturdier implementations of a simple, cheap, index-following mandate.

Worth knowing

  • FTXH The screen costs money: 0.60% a year, above the pharma-ETF median and well above cap-weighted rivals PPH (0.36%) and XPH (0.35%).
  • About 50 names in a single sector. Patent rulings, trial results and drug-pricing headlines land with full force.
  • Factor weighting cuts both ways: the lineup can look quite different from a standard cap-weighted pharma benchmark, and behave differently too.
  • IHE Cap weighting across about 60 names puts the largest US drug makers in the driver's seat; XPH uses modified equal weight to spread dollars across large, mid and small caps.ssga.com
  • Pharma only. No biotech, devices or insurers, and the fund is non-diversified, making it a narrow slice of health care.ishares.com
  • The 0.37% fee undercuts the category median but not the floor: XPH at 0.35% and PPH at 0.36% shade it slightly.

Full FTXH profile⁠

Full IHE profile⁠

FTXH vs IHE Holdings

How we measure overlap

Each holding counts at its smaller weight in the two funds, summed over the full Holdings. Sector, country and asset class use the same rule on each fund’s split. Cash, FX and derivative lines stay out of the counts. Two bond funds get no overlap figure.

FTXH vs IHE Cost

Overpaying FTXH vs IHE

$4,304

On $10,000 over 30 years. 7% growth a year before fees, expense ratio only.

  • FTXH 0.60%

    $11,817

  • IHE 0.37%

    $7,513

$10,000
30 years

Cost over time

  • FTXH 0.60%
  • IHE 0.37%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$2.5K$5K$7.5K$10K$12.5K051015202530FTXH $11,817IHE $7,513

Year by year

YearFTXHIHEOverpaying
10$1,076$670$406
20$4,116$2,590$1,526
30$11,817$7,513$4,304

Expense ratio

  • 0.60%FTXH
  • 0.37%IHE, cheaper
  • Middle half of Pharma & Therapeutics funds
  • Median 0.58%

IHE 4th cheapest of 9 funds

FTXH 8th cheapest of 9 funds

FTXH vs IHE Dividends

Last 12 months to Nov 2, 2026
Yield (12M)
FTXH 0.66%
IHE 1.34%, better
Payout (12M)
FTXH $0.29
IHE $1.43
Last payment
FTXH $0.01
IHE $0.28
Ex-dividend
FTXH Sep 24, 2026
IHE Sep 15, 2026
Paid on
FTXH Sep 30, 2026
IHE Sep 18, 2026
Frequency
FTXH Quarterly
IHE Quarterly

Distribution history

Per share, 2017 to 2026, same scale for both

FTXHQuarterly · 38 paymentsAll FTXH payments⁠
One bar per payment. 38 payments from 2017 to 2026 YTD. Mar 23, 2017 $0.03; Jun 22, 2017 $0.06; Sep 21, 2017 $0.38; Mar 22, 2018 $0.08; Jun 21, 2018 $0.04; Sep 14, 2018 $0.03; Dec 18, 2018 $0.04; Mar 21, 2019 $0.03; Jun 14, 2019 $0.04; Sep 25, 2019 $0.05; Dec 13, 2019 $0.04; Mar 26, 2020 $0.06; Jun 25, 2020 $0.05; Sep 24, 2020 $0.04; Dec 24, 2020 $0.06; Mar 25, 2021 $0.08; Jun 24, 2021 $0.05; Sep 23, 2021 $0.04; Dec 23, 2021 $0.11; Mar 25, 2022 $0.05; Jun 24, 2022 $0.04; Sep 23, 2022 $0.09; Dec 23, 2022 $0.13; Mar 24, 2023 $0.10; Jun 27, 2023 $0.12; Sep 22, 2023 $0.07; Dec 22, 2023 $0.12; Mar 21, 2024 $0.07; Jun 27, 2024 $0.13; Sep 26, 2024 $0.12; Dec 13, 2024 $0.13; Mar 27, 2025 $0.10; Jun 26, 2025 $0.09; Sep 25, 2025 $0.15; Dec 12, 2025 $0.13; Mar 26, 2026 $0.06; Jun 25, 2026 $0.09; Sep 24, 2026 $0.01. Use the arrow keys to read each point.$0$0.502017202020232026YTD
IHEQuarterly · 39 paymentsAll IHE payments⁠
One bar per payment. 39 payments from 2017 to 2026 YTD. Mar 24, 2017 $0.12; Jun 27, 2017 $0.31; Sep 26, 2017 $0.15; Dec 19, 2017 $0.12; Mar 22, 2018 $0.18; Jun 26, 2018 $0.16; Sep 26, 2018 $0.13; Dec 17, 2018 $0.12; Mar 20, 2019 $0.19; Jun 17, 2019 $0.18; Sep 24, 2019 $0.21; Dec 16, 2019 $0.17; Mar 25, 2020 $0.20; Jun 15, 2020 $0.10; Sep 23, 2020 $0.24; Dec 14, 2020 $0.18; Mar 25, 2021 $0.21; Jun 10, 2021 $0.24; Sep 24, 2021 $0.28; Dec 13, 2021 $0.26; Mar 24, 2022 $0.26; Jun 9, 2022 $0.24; Sep 26, 2022 $0.29; Dec 13, 2022 $0.45; Mar 23, 2023 $0.22; Jun 7, 2023 $0.20; Sep 26, 2023 $0.30; Dec 20, 2023 $0.13; Mar 21, 2024 $0.28; Jun 11, 2024 $0.29; Sep 25, 2024 $0.36; Dec 17, 2024 $0.21; Mar 18, 2025 $0.29; Jun 16, 2025 $0.31; Sep 16, 2025 $0.31; Dec 16, 2025 $0.59; Mar 17, 2026 $0.28; Jun 15, 2026 $0.28; Sep 15, 2026 $0.28. Use the arrow keys to read each point.$0$0.502017202020232026YTD

FTXH vs IHE Risk

Fall from peak · 5 years

  • FTXH
  • IHE
Nov 2, 2021 to Nov 2, 2026. Worst fall: FTXH −19.5% · Apr 2025. Use the arrow keys to read each point.−15%−10%−5%0%Nov 2021May 2024Nov 2026

Risk facts

VolatilityStd dev, 3 years
FTXH 13.9%, betterIHE 15.0%
Return per unit of riskSharpe ratio, 3 years
FTXH 1.32IHE 1.35, better
Worst fallMax drawdown, 5 years
FTXH −19.5%IHE −16.0%, better
Market sensitivityBeta, 5 years
FTXH 0.46IHE 0.48

FTXH and IHE in the news

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