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IHE vs OZEM

iShares U.S. Pharmaceuticals ETF

IHEBNYSE Arca

Roundhill GLP-1 & Weight Loss ETF

OZEMCNasdaq

Overlap

20.8%by weight

Expense ratio

IHE −0.22pt a year

IHE0.37%OZEM0.59%

Avg volume · 30D

IHE 14.7×the volume

IHE267KOZEM18.2K

IHE vs OZEM Performance

Oct 31, 2025 – Nov 2, 2026

+43.0%IHE+7.7%OZEM

Oct 31, 2025 to Nov 2, 2026. IHE +43.0%. OZEM +7.7%. Use the arrow keys to read each point.0%20%30%Oct 2025May 2026Nov 2026
Expense ratio
IHE 0.37%, better
OZEM 0.59%
Fund size
IHE $1.62B
OZEM $56M
1Y total return
IHE +43.0%, better
OZEM +7.7%
Yield (12M)
IHE 1.34%
OZEM 1.34%
Holdings
IHE 55
OZEM 27
Avg volume (30D)
IHE 267K sh, better
OZEM 18.2K sh
NAV per share
IHE $107.57
OZEM $30.56
52W range

ETF.net Grade

IHE: Cost 64, Risk 75, Mission not scored, Tradability 80, Holdings 32, Durability 87. OZEM: Cost 41, Risk 21, Mission 66, Tradability 25, Holdings 52, Durability 44.
Pillar letters and Scores for IHE, OZEM, with each pillar’s weight
PillarIHEOZEM
Cost30% weightB64HigherC41
Mission25% weightNot scoredB66
Risk15% weightA75HigherF21
Tradability15% weightA80HigherD25
Holdings10% weightD32C52Higher
Durability5% weightA87HigherC44

Rank among Pharma & Therapeutics funds

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

Same Category. IHE and OZEM 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 OZEM 8th 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 7CTHNRAmplify Weight Loss Drug & Treatment ETFScore 44
  5. Rank 8COZEMRoundhill GLP-1 & Weight Loss ETFScore 42
  6. Rank 9FPSILAdvisorShares Psychedelics ETFScore 19

Our read on each fund

ETF.net Research

IHEBiShares U.S. Pharmaceuticals ETF

OZEMCRoundhill GLP-1 & Weight Loss ETF

In short

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.

OZEM The whole weight-loss trade in one ticker: roughly 30 stocks covering the drugmakers behind GLP-1 treatments plus the companies expected to benefit as use widens. Broad pharma funds bury this theme. OZEM is built entirely around it.

Stated mandate

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.

OZEM The Fund seeks capital appreciation by providing exposure to companies developing pharmaceutical drugs for weight loss and anti-obesity, including GLP-1 treatments, as well as companies expected to benefit from their wider use.

Why people hold it

  • 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.
  • OZEM The mandate is explicit: companies developing weight-loss and anti-obesity drugs, including GLP-1s, plus firms expected to benefit from wider use. No hedging into general pharma.
  • A roughly 30-stock lineup means the theme actually drives the fund, rather than sitting as a small sleeve inside a diversified pharma basket.
  • At 0.59%, the fee sits in the same neighborhood as established pharma funds like PJP (0.57%) and FTXH (0.60%), despite the narrower, more specialized mandate.

Worth knowing

  • 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.
  • OZEM Broad pharma alternatives are cheaper: XPH at 0.35% and PPH at 0.36%. The theme focus here carries a price.
  • Thinly traded with a modest asset base, so spreads can be wide. Limit orders are the standard tool for funds in this range.
  • Launched in 2024, so the history is short, and a 30-stock single-theme basket swings on trial results and regulatory news at a handful of companies.

Full IHE profile⁠

Full OZEM profile⁠

IHE vs OZEM Holdings

How IHE and OZEM differ

Overlap by weight

20.8%

Shared holdings make up 32.0% of IHE and 26.1% of OZEM.

Level by level

  • Sector2 Sectors0.0%
  • Holdings4 in both20.8%
  • Countryby domicile46.6%
  • Asset classEquity100%

Sector

Sector weights in IHE and OZEM, widest gap first
SectorMore in IHEMore in OZEM
PharmaceuticalsIHE +100.0 points
Health CareOZEM +100.0 points

Country, concentration and asset class

Country by domicile

Country weights in IHE and OZEM, widest gap first
CountryMore in IHEMore in OZEM
United StatesIHE +53.3 points
DenmarkOZEM +17.2 points
ChinaOZEM +13.2 points
JapanOZEM +6.4 points
Hong KongOZEM +5.3 points
United KingdomOZEM +4.2 points
SwitzerlandOZEM +3.7 points
South KoreaOZEM +3.5 points

Outside the US: OZEM 69% developed, 31% emerging.

Concentration

Weight in the 10 largest Holdings

  • IHE81.1%
  • OZEM69.1%

Securities held

  • IHE53
  • OZEM26

Asset class

IHE
Equity
OZEM
Equity

Holdings

  • Only in IHE49
  • In both4
  • Only in OZEM22

Only in IHE

49 securities, 67.9% of IHE by weight

  • Johnson & Johnson21.80%
  • Royalty Pharma PLC Class A4.73%
  • Zoetis Inc Class A4.64%

Only in OZEM

22 securities, 74.1% of OZEM by weight

  • Novo Nordisk A/S11.74%
  • Kailera Therapeutics Inc5.84%
  • CSPC Pharmaceutical Group Ltd5.12%

Weight gaps

All 4 Holdings in both funds, largest gap first.

Holding weights in IHE and OZEM, widest gap first
HoldingMore in IHEMore in OZEM
Eli LillyLLYIHE +11.27 points
PfizerPFEOZEM +3.58 points
Mbx BiosciencesMBXOZEM +1.65 points
Wave Life SciencesWVEOZEM +0.17 points

All 53 IHE holdings⁠All 29 OZEM 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.

IHE vs OZEM Cost

Overpaying OZEM vs IHE

$4,122

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

  • IHE 0.37%

    $7,513

  • OZEM 0.59%

    $11,635

$10,000
30 years

Cost over time

  • IHE 0.37%
  • OZEM 0.59%
  • 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$12.5K051015202530OZEM $11,635IHE $7,513

Year by year

YearIHEOZEMOverpaying
10$670$1,058$388
20$2,590$4,051$1,461
30$7,513$11,635$4,122

Expense ratio

  • 0.37%IHE, cheaper
  • 0.59%OZEM
  • Middle half of Pharma & Therapeutics funds
  • Median 0.58%

IHE 4th cheapest of 9 funds

OZEM 6th cheapest of 9 funds

IHE vs OZEM Dividends

Last 12 months to Nov 2, 2026
Yield (12M)
IHE 1.34%
OZEM 1.34%
Payout (12M)
IHE $1.43
OZEM $0.41
Last payment
IHE $0.28
OZEM $0.41
Ex-dividend
IHE Sep 15, 2026
OZEM Dec 30, 2025
Paid on
IHE Sep 18, 2026
OZEM Dec 31, 2025
Frequency
IHE Quarterly
OZEM Irregular

Distribution history

Per share, 2017 to 2026, same scale for both

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
OZEMIrregular · 2 paymentsAll OZEM payments⁠
One bar per payment. 2 payments from 2017 to 2026 YTD. Dec 30, 2024 $0.05; Dec 30, 2025 $0.41. Use the arrow keys to read each point.$0$0.502017202020232026YTD

IHE vs OZEM Risk

Fall from peak · 5 years

This chart needs five years of history for both funds.

Risk facts

VolatilityStd dev, 3 years
IHE 15.0%OZEM 19.8%since Jun 2024
Return per unit of riskSharpe ratio, 3 years
IHE 1.35OZEM 0.34since Jun 2024
Worst fallMax drawdown, 5 years
IHE −16.0%OZEM −28.6%since May 2024
Market sensitivityBeta, 5 years
IHE 0.48OZEM 0.47

IHE and OZEM in the news

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