Data as of Oct 28, 2026.

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IYH vs PPH: Differences, Returns & Fees

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Over the year to Oct 28, 2026, IYH returned +25.3% to PPH's +27.4%; 34% of their weight is in the same names.

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Net assets: $4.5bn on Oct 28, 2026 for iShares U.S. Healthcare ETF, and $1.0bn on Oct 27, 2026 for VanEck Pharmaceutical ETF.

At a glance
+25.3%
IYH total return, 1 year
+27.4%
PPH total return, 1 year
0.37%
IYH expense ratio
0.36%
PPH expense ratio

Pair scorecard

PPH costs 0.01 points a year less; their one-year returns differ by 2.1 points; IYH is 4.5 times larger.

IYH vs PPH: Differences, Returns & Fees
MeasureIYHPPH
Return
Total return, 1 year+25.3%+27.4%
Benchmark
What it tracksRussell 1000 Health Care RIC 22MVIS US Listed Pharmaceutical 25 Index
Cost and size
Expense ratio0.37%0.36%
Net assets, as of Oct 27, 2026$4.5bn$1.0bn
Holdings
Holdings in common34%
Top ten holdings, share of the fund58.9%71.6%

Holdings in common uses holdings dated Oct 27, 2026. Method

Risk and return

Jun 23, 2000 to Oct 23, 2026 · 1,374 weekly returns
IYH PPH
Return
Total return edge IYH +728.2% +330.1%
Annualized edge IYH +8.3% +5.7%
Price return edge IYH +501.1% +134.4%
Risk
Volatility edge IYH (slight) 16.8% 17.7%
Max drawdown edge IYH −41.3% −50.3%
Risk-adjusted
Sharpe edge IYH 0.46 0.30
Sortino edge IYH 0.64 0.43
Calmar edge IYH 0.20 0.11
Reading

IYH returned more: +728.2% to +330.1%. IYH swung slightly less: 16.8% to 17.7%. IYH fell less at its worst: −41.3% to −50.3%.

Full scorecard

9 measures, with how each is measured
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Risk and return: IYH vs PPH: Differences, Returns & Fees
MeasureIYHPPHEdgeHow it is measured
Return
Total return+728.2%+330.1%IYHPrice change plus distributions, reinvested.
Annualized+8.3%+5.7%IYHTotal return as a yearly rate.
Price return+501.1%+134.4%IYHPrice change alone, distributions left out.
Risk
Volatility16.8%17.7%IYH (slight)Spread of weekly returns, annualized. Lower is steadier.
Downside deviation11.9%12.5%IYH (slight)Like volatility, counting only weeks below the Treasury bill rate.
Max drawdown−41.3%−50.3%IYHDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.460.30IYHReturn above Treasury bills per unit of volatility.
Sortino0.640.43IYHReturn above Treasury bills per unit of downside deviation.
Calmar0.200.11IYHAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,374 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

34%

By the books each fund has filed, IYH and PPH hold 34% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

0 half 100%

half

34% in common

Positions both hold · largest shared weight first IYH PPH
ELI LILLY 15.29% 21.88%
MERCK & CO INC 5.24% 12.40%
ABBVIE 7.57% 3.79%
JOHNSON & JOHNSON 9.67% 3.34%
PFIZER 2.53% 5.14%
BRISTOL MYERS SQUIBB 1.88% 4.58%
ZOETIS INC CLASS A 0.49% 2.64%
VIATRIS 0.33% 1.51%
JAZZ PHARMACEUTICALS PLC 0.18% 1.12%
ELANCO ANIMAL HEALTH 0.17% 0.48%
CORCEPT THERAPEUTICS 0.12% 0.56%
AXSOME THERAPEUTICS 0.09% 0.54%
Only in one fund ↓
Only in IYH
UNITEDHEALTH GROUP 5.54%
THERMO FISHER SCIENTIFIC 3.85%
AMGEN INC 3.61%
GILEAD SCIENCES 2.95%
ABBOTT LABORATORIES 2.67%
INTUITIVE SURGICAL 2.35%
DANAHER 2.19%
VERTEX PHARMACEUTICALS 1.98%
Only in PPH
Novo Nordisk A/S 5.45%
Mckesson Corp 4.68%
Teva Pharmaceutical Industries Ltd 4.63%
Gsk Plc 4.52%
Cencora Inc 4.34%
Haleon Plc 3.94%
Novartis Ag 3.79%
Astrazeneca Plc 3.60%
Check overlap with more funds →

Side by side

IYH iShares U.S. Healthcare ETF PPH VanEck Pharmaceutical ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index Tracks an index
Total return, 1 year +25.3% +27.4%
Expense ratio 0.37% 0.36%
Already in the S&P 500 90.3% 58.7%
Holdings 101 25
Net assets, IYH as of Oct 28, 2026 and PPH as of Oct 27, 2026 $4.5bn $1.0bn

IYH and PPH on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.

Client brief · page 1 of 2 Report BR-4D05856AF4

IYH and PPH are built for the same job. How do they differ in cost, holdings and results?

  1. What each follows. IYH follows Russell 1000 Health Care RIC 22 and PPH follows MVIS US Listed Pharmaceutical 25 Index.
  2. Holdings in common. 34% of the weight is in the same securities (holdings dated Oct 27, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 IYH returned +25.3% and PPH +27.4% with distributions reinvested, a gap of 2.1 points.

Data as of Oct 28, 2026.

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About each fund
IYH

IYH tracks an index. Over the year to Oct 28, 2026 it returned +25.3% with distributions reinvested. The prospectus expense ratio is 0.37% a year. By its holdings published by its issuer for Oct 27, 2026, 90% of the fund by weight is stocks the S&P 500 also holds, across 101 positions, with the top ten at 58.9%.

PPH

PPH tracks an index. Over the year to Oct 28, 2026 it returned +27.4% with distributions reinvested. The prospectus expense ratio is 0.36% a year. By its holdings published by its issuer for Oct 27, 2026, 59% of the fund by weight is stocks the S&P 500 also holds, across 25 positions, with the top ten at 71.6%.

Questions people ask

Which returned more over the last year, IYH or PPH?
In the year to Oct 28, 2026, with distributions reinvested, IYH returned +25.3% and PPH +27.4%.
Which is cheaper, IYH or PPH?
PPH is cheaper, by 0.01 percentage points a year. That is about $1 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do IYH and PPH overlap with the S&P 500?
By their latest filed holdings, 90% of IYH and 59% of PPH by weight is stocks the S&P 500 already holds.
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ETFIQ, IYH against PPH, data as of Oct 28, 2026. https://etfiq.com/compare/any/iyh-vs-pph

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