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Data as of .

FMED vs TNXT: which is really different?

FMED and TNXT hold 10% of their weight in the same names.

Fidelity Disruptive Medicine ETF and T. Rowe Price Innovation Leaders ETF.

25.4%FMED in the S&P 500
64.3%TNXT in the S&P 500
+28.3%FMED total return, 1 year
+14.5%TNXT total return, 1 year

ETFIQ Off-Index Score: FMED scores higher

How much of it is not the index it is sold as an alternative to?

FMED 40.1TNXT 0.70.1, the lowest in this set91.8, the highest

A percentile among the 379 thematic ETFs with a holdings filing. It is a position in a set, not a rating, and neither end of it is a recommendation. All thematic ETFs ranked by it · How it is computed

FMED75% of its weight is outside the S&P 500 · 1 year to Sep 18, 2026
25%75%in the S&P 500of its weight outside the S&P 500active share 97% · top ten 32% of the fund · 68 holdings filed May 31, 2026 · Nasdaq-100: 9% in25%75%inoutside the S&P 500active share 97% · top ten 32% of the fund
TNXT36% of its weight is outside the S&P 500 · 6 months to Sep 18, 2026
64%36%of its weight in S&P 500 companiesof its weight outside the S&P 500active share 52% · top ten 32% of the fund · 272 holdings filed Jun 30, 2026 · Nasdaq-100: 47% in64%36%in the S&P 500outsideactive share 52% · top ten 32% of the fund

10% of the two portfolios are the same securities at the same weight.

What they hold in common

By the books each fund has filed, FMED and TNXT hold 10% of their money in the same securities at the same weight.

Positions FMED and TNXT both hold, largest shared weight first
HoldingFMEDTNXT
ELI LILLY and CO1.07%1.99%
UNITEDHEALTH GROUP INC2.26%0.97%
GUARDANT HEALTH INC1.39%0.70%
NATERA INC1.43%0.67%
KYMERA THERAPEUTICS INC1.99%0.59%
BRIGHTSPRING HEALTH SERVICES INC1.54%0.48%
ARGENX SE2.79%0.46%
STRYKER CORP1.37%0.41%
THERMO FISHER SCIENTIFIC INC1.54%0.39%
ROIVANT SCIENCES LTD0.83%0.34%
INTUITIVE SURGICAL INC2.93%0.27%
MODERNA INC2.11%0.27%
Only in each
Only in FMEDOnly in TNXT
LIFESTANCE HEALTH GROUP INC 4.29%NVIDIA CORP 7.23%
10X GENOMICS INC 3.12%APPLE INC 4.61%
COGENT BIOSCIENCES INC 2.86%AMAZON.COM INC 3.02%
LEGEND BIOTECH CORP 2.30%BROADCOM INC 2.76%
BIO TECHNE CORP 2.25%MICROSOFT CORP 2.67%
EDWARDS LIFESCIENCES CORP 2.12%ALPHABET INC CL A 2.57%
XENON PHARMACEUTICALS INC 1.92%ADVANCED MICRO DEVICES 2.53%
HEARTFLOW INC 1.90%ALPHABET INC CL C 2.28%

Weight overlap is an ETFIQ calculation: for every security both funds hold, the smaller of the two weights, summed. Above 50%, holding both is close to holding one of them twice. Holdings dated Jun 30, 2026 and May 31, 2026.

Performance, window by window

FMED and TNXT over each window. Every figure is an ETFIQ calculation with distributions reinvested. Source: ETFIQ.
WindowTotal returnvs the S&P 500vs the Nasdaq-100
FMEDTNXTFMEDTNXTFMEDTNXT
3 months+21.3%+3.8%+19.0 pts+1.6 pts+23.7 pts+6.3 pts
6 months+32.3%+27.4%+14.3 pts+9.3 pts+8.0 pts+3.1 pts
1 year+28.3%not published+11.7 ptsnot published+6.5 ptsnot published
3 years+39.6%not published−38.8 ptsnot published−58.5 ptsnot published
Since launch+25.8%+14.5%−57.6 pts+3.9 pts−78.1 pts−0.4 pts
Open the live comparison on ETFIQ
FMED and TNXT on the same fields, as of Sep 18, 2026. Source: ETFIQ.
FMED
Fidelity Disruptive Medicine ETF
Holds 68 stocks in broad innovation and megatrends, 25% of its weight in S&P 500 companies
TNXT
T. Rowe Price Innovation Leaders ETF
Holds 272 stocks in broad innovation and megatrends, 64% of its weight in S&P 500 companies
IssuerFidelityT. Rowe Price
ThemeBroad innovation and megatrendsBroad innovation and megatrends
In the S&P 50025.4%64.3%
Active share vs the S&P 50097.1%51.6%
In the Nasdaq-1008.7%46.9%
Holdings68272
Top ten, share of the fund31.5%31.8%
Expense ratio0.50%0.49%
Fee for the differing part0.51%0.95%
Total return, 1 year+28.3%+14.5% (since launch on Jan 29, 2026)
vs the S&P 500+11.7 pts+3.9 pts
vs the Nasdaq-100+6.5 pts−0.4 pts
Below its high−3.8%−1.4%
Net assets$52m$18m

FMED in plain words

By weight, 25% of FMED's portfolio is stocks that are also in the S&P 500; its active share against the S&P 500 is 97%. The top ten holdings are 32% of the fund across 68 positions, as filed for May 31, 2026. Over the year to Sep 18, 2026 the fund returned +28.3% with distributions reinvested against +16.6% for the S&P 500, so a holder was ahead by 11.7 pts.

TNXT in plain words

By weight, 64% of TNXT's portfolio is stocks that are also in the S&P 500; its active share against the S&P 500 is 52%. The top ten holdings are 32% of the fund across 272 positions, as filed for Jun 30, 2026. Since it launched on Jan 29, 2026 the fund returned +14.5% with distributions reinvested against +10.6% for the S&P 500, so a holder was ahead by 3.9 pts.

Questions people ask

Do FMED and TNXT hold the same stocks?
By their latest filings, 10% of their books are the same securities at the same weight, which is mostly different names. Overlap is the sum of the smaller weight of every security they share.
Which is more different from the S&P 500, FMED or TNXT?
FMED has 25% of its weight in S&P 500 names and TNXT has 64%, so FMED differs more from the index.
Which is cheaper, FMED or TNXT?
FMED charges 0.50% a year and TNXT charges 0.49%, so TNXT is cheaper. Fees come from each fund's prospectus.

Other comparisons

Where these figures came from

ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.

FMED against TNXT, ETFIQ, data as of Sep 18, 2026. Every figure is calculated from a named public source; the method is at etfiq.com/methodology. A comparison is not a recommendation.

Cite this page. ETFIQ, FMED against TNXT, data as of Sep 18, 2026. https://etfiq.com/compare/themes/fmed-vs-tnxt Free to use with attribution; the underlying files are at Open data.

How every figure is computed · Standards and sources