Data as of Oct 28, 2026.
FTXH vs IHE: Differences, Returns & Fees
Over the year to Oct 28, 2026, FTXH returned +47.9% to IHE's +41.9%; 40% of their weight is in the same names.
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Net assets on Oct 27, 2026: $1.2bn for First Trust Nasdaq Pharmaceuticals ETF and $1.6bn for iShares U.S. Pharmaceuticals ETF.
Pair scorecard
IHE costs 0.23 points a year less; their one-year returns differ by 6.0 points; IHE is 1.3 times larger.
| Measure | FTXH | IHE |
|---|---|---|
| Return | ||
| Total return, 1 year | +47.9% | +41.9% |
| Drawdown | ||
| Below its high | 3.9%, high on Aug 19, 2026 | |
| Benchmark | ||
| What it tracks | Nasdaq US Smart Pharmaceuticals Index | Dow Jones U.S. Select Pharmaceuticals Index |
| Cost and size | ||
| Expense ratio | 0.60% | 0.37% |
| Net assets, as of Oct 27, 2026 | $1.2bn | $1.6bn |
| Holdings | ||
| Holdings in common | 40% | |
| Top ten holdings, share of the fund | 54.8% | 80.4% |
Holdings in common uses holdings dated Oct 27, 2026. Method
Risk and return
Sep 30, 2016 to Oct 23, 2026 · 525 weekly returnsFTXH returned slightly more: +145.2% to +139.9%. FTXH and IHE swung about the same: 18.3% and 18.1%. IHE fell slightly less at its worst: −26.7% to −28.9%.
Full scorecard
9 measures, with how each is measured Open ↓
| Measure | FTXH | IHE | Edge | How it is measured |
|---|---|---|---|---|
| Return | ||||
| Total return | +145.2% | +139.9% | FTXH (slight) | Price change plus distributions, reinvested. |
| Annualized | +9.3% | +9.1% | FTXH (slight) | Total return as a yearly rate. |
| Price return | +116.4% | +105.8% | FTXH (slight) | Price change alone, distributions left out. |
| Risk | ||||
| Volatility | 18.3% | 18.1% | Tie | Spread of weekly returns, annualized. Lower is steadier. |
| Downside deviation | 12.8% | 12.5% | IHE (slight) | Like volatility, counting only weeks below the Treasury bill rate. |
| Max drawdown | −28.9% | −26.7% | IHE (slight) | Deepest fall from a high to the low after it. |
| Risk-adjusted | ||||
| Sharpe | 0.44 | 0.43 | FTXH (slight) | Return above Treasury bills per unit of volatility. |
| Sortino | 0.63 | 0.63 | Tie | Return above Treasury bills per unit of downside deviation. |
| Calmar | 0.32 | 0.34 | IHE (slight) | Annualized return divided by the max drawdown. |
Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 525 weekly returns. Cash rate: the 13-week Treasury bill.
What they share
By the books each fund has filed, FTXH and IHE hold 40% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.
half
40% in common
Only in one fund ↓
Side by side
FTXH and IHE on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
FTXH and IHE are built for the same job. How do they differ in cost, holdings and results?
- What each follows. FTXH follows Nasdaq US Smart Pharmaceuticals Index and IHE follows Dow Jones U.S. Select Pharmaceuticals Index.
- Holdings in common. 40% of the weight is in the same securities (holdings dated Oct 27, 2026).
- One-year total return. Over 1 year to Oct 28, 2026 FTXH returned +47.9% and IHE +41.9% with distributions reinvested, a gap of 6.0 points.
Data as of Oct 28, 2026.
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FTXH
FTXH tracks an index. Over the year to Oct 28, 2026 it returned +47.9% with distributions reinvested. The prospectus expense ratio is 0.60% a year. By its holdings published by its issuer for Oct 27, 2026, 68% of the fund by weight is stocks the S&P 500 also holds, across 50 positions, with the top ten at 54.8%.
IHE
IHE tracks an index. Over the year to Oct 28, 2026 it returned +41.9% with distributions reinvested. The prospectus expense ratio is 0.37% a year. By its holdings published by its issuer for Oct 27, 2026, 66% of the fund by weight is stocks the S&P 500 also holds, across 54 positions, with the top ten at 80.4%. It sat 3.9% below its high of Aug 19, 2026 on Oct 28, 2026.
Questions people ask
- Which returned more over the last year, FTXH or IHE?
- In the year to Oct 28, 2026, with distributions reinvested, FTXH returned +47.9% and IHE +41.9%.
- Which is cheaper, FTXH or IHE?
- IHE is cheaper, by 0.23 percentage points a year. That is about $23 on $10,000 held for a year. Fees come from each fund's prospectus.
Links are sources, not endorsements. A comparison is not a recommendation.
How this is computed
Overlap adds up the smaller of the two weights for each security both funds hold.
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ETFIQ, FTXH against IHE, data as of Oct 28, 2026. https://etfiq.com/compare/any/ftxh-vs-ihe
ETFIQ. (Oct 28, 2026). FTXH against IHE. Retrieved from https://etfiq.com/compare/any/ftxh-vs-ihe
[FTXH against IHE (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/ftxh-vs-ihe)
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