At a glance
XPH charges 0.35% a year, below the 0.43% average of the 6 funds most like it (the 2nd cheapest of 7). It has $428.4M in assets, the 6th largest of that group; it paid 0.42% of its price in distributions over the past 12 months, quarterly. Over the past year it returned +30.8% with distributions reinvested (S&P 500: +11.5%), 4th of those 7 funds; over three years it returned +23.1% a year. At its worst it fell 17.9% in the 2022 bear market (S&P 500: 24.5%), and was back at its earlier high 22 months after the low. Its ten largest positions make up 22.2% of the fund, out of 65 in all.
The short version
SPDR S&P Pharmaceuticals ETF (XPH) is a State Street index fund that holds U.S. drug companies from the S&P Pharmaceuticals Select Industry Index, which had 64 stocks as of July 31, 2026. The index gives its members roughly equal weight, so smaller drug developers such as Definium Therapeutics and MBX Biosciences count about as much as much larger firms. Its 0.35% expense ratio is below the 0.43% average of similar funds.
Price history
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XPH +30.8% over the year to Oct 27, 2026, total return with distributions reinvested.
How it has behaved
| YTD | 1 yr | 3 yr | 5 yr | 10 yr | Since start | |
|---|---|---|---|---|---|---|
| XPH official prospectus, to Dec 31, 2025 | — | +31.63% | — | +2.82% | +1.88% | — |
| XPH price data to Oct 27, 2026 | +14.5% | +30.8% | +23.1% | +7.6% | — | +7.5% |
- Over the year to Oct 27, 2026, XPH returned +30.8%, 4th of 7 among similar funds.
- Its 5-year annualized return was +7.6%.
- Its worst full calendar year was 2021 (-10.6%); its best was 2025 (+31.6%).
- The deepest fall in its price history was 35% (Feb 17, 2021 to Nov 13, 2023), recovered by Nov 24, 2025.
Show as a table
| Year | Price data | Prospectus (official) |
|---|---|---|
| 2026 (to date) | +14.5% | — |
| 2025 | +31.6% | +31.63% |
| 2024 | +4.9% | +5.12% |
| 2023 | +3.0% | +2.86% |
| 2022 | -9.9% | -9.75% |
| 2021 | -10.6% | -10.51% |
| 2020 | — | +14.39% |
| 2019 | — | +25.65% |
| 2018 | — | -15.20% |
| 2017 | — | +12.04% |
| 2016 | — | -23.22% |
| 2008 financial crisis stocks fell Oct 9, 2007 – Mar 9, 2009 | Not in the price data, which starts Jun 2, 2020 |
|---|---|
| 2020 COVID crash stocks fell Feb 19, 2020 – Mar 23, 2020 | Not in the price data, which starts Jun 2, 2020 |
| 2022 bear market stocks fell Jan 3, 2022 – Oct 12, 2022 | Lost 12.7% over that stretch · deepest drop along the way 17.9%, back to its old high 21.6 months after the low |
Dividends and income
Show as a table
| Year | Per share | Change |
|---|---|---|
| 2026 (to date) | $0.1600 | |
| 2025 | $0.4600 | -31.3% |
| 2024 | $0.6700 | +26.4% |
| 2023 | $0.5300 | -19.7% |
| 2022 | $0.6600 | +53.5% |
| 2021 | $0.4300 |
What's inside
As of Jun 30, 2026, the fund held 65 securities; the ten largest made up 22.18% of assets. It also reported 8.64% in a money-market fund, most likely cash collateral from lending out shares rather than uninvested money.
| Holding | Weight | |
|---|---|---|
| Definium Therapeutics Inc | 3.09% | |
| MBX Biosciences Inc | 2.72% | |
| Alumis Inc | 2.14% | |
| AtaiBeckley Inc | 2.13% | |
| Trevi Therapeutics Inc | 2.12% | |
| Enliven Therapeutics Inc | 2.09% | |
| Amylyx Pharmaceuticals Inc | 2.04% | |
| VeraDermics Inc | 2.02% | |
| Ligand Pharmaceuticals Inc | 1.94% | |
| Nuvation Bio Inc | 1.89% | |
| Edgewise Therapeutics Inc | 1.88% | |
| Nektar Therapeutics | 1.88% | |
| Liquidia Corp | 1.86% | |
| Maze Therapeutics Inc | 1.85% | |
| Harrow Inc | 1.81% |
By country
United States 89.75%Canada 3.09%Ireland 3.02%United Kingdom 1.57%Singapore 1.57%By asset type
Stocks 99.95%What changed recently
- Over the three months to Jun 30, 2026, investors added a net $46.9M (creations minus redemptions, per the N-PORT report).
- Monthly total returns reported for that quarter: +6.83%, +1.09%, +13.98%.
How it works
XPH tracks the S&P Pharmaceuticals Select Industry Index. S&P Dow Jones Indices runs the index and is not affiliated with State Street. The index starts with the S&P Total Market Index, which covers the broad U.S. stock market. It keeps only U.S.-based companies in the Pharmaceuticals sub-industry of GICS (the Global Industry Classification Standard). To get in, a company generally needs a float-adjusted market value (counting only shares available to trade) of at least $500 million plus heavy trading, or at least $400 million with even heavier trading. A stock is dropped if its value falls below $300 million or its trading dries up. The index held 64 stocks as of July 31, 2026.
The index is modified equal weighted. Most indexes give the biggest companies the biggest slices. This one gives its members roughly similar weights, so small drug developers matter about as much as large ones. It rebalances and resets its membership every quarter, on the third Friday of March, June, September and December. A second reweighting follows near the end of each of those months.
State Street's adviser, SSGA Funds Management, uses a sampling strategy. It may hold every stock in the index or a representative subset, but it must keep at least 80% of net assets in index stocks. It may also use futures contracts and cash to handle money moving in and out of the fund. The prospectus reports 69% portfolio turnover.
What it really costs
- XPH charges 0.35% a year, versus an average of 0.43% for the similar funds below (2nd of 7, cheapest first).
- Using the prospectus's standard example, $10,000 invested would cost about $36 in the first year and $443 over 10 years (assuming a 5% annual return).
| Cost of $10,000 (SEC example) | 1 yr | 3 yrs | 5 yrs | 10 yrs |
|---|---|---|---|---|
| XPH | $36 | $113 | $197 | $443 |
In a retirement portfolio
XPH is a narrow, equal-weighted bet on drug stocks that has fallen as much as 35%, so it fits better as a small add-on than as a foundation.
XPH could add a focused stake in U.S. drug makers to a broad portfolio, but its record has been bumpy. Its price history starts in June 2020, so the 2008 crisis and the 2020 crash aren't covered. In 2022 it fell 17.9% between April and May and didn't recover until February 2024. Its deepest drop, 35%, ran from February 2021 to November 2023, and it didn't regain its earlier high until November 2025. The prospectus also shows a 23.22% loss in 2016. Anyone who had to sell during a stretch like that would have locked in losses.
Income is small: the yield was 0.42% as of October 27, 2026, paid quarterly. On costs, the SEC's standard example ($10,000 invested, 5% yearly return) works out to $443 over 10 years. Past results don't predict future returns, and a plan should look at the whole portfolio, not one fund.
Who it may suit — and who should look elsewhere
May suit
- Investors wanting drug-company exposure tilted toward smaller developers: equal weighting left the top 10 holdings at just 22% of assets as of June 30, 2026.
- Cost-conscious sector investors: the 0.35% expense ratio ranked 2nd lowest of 7 similar funds, below IHE's 0.39% and PJP's 0.56%.
- Those keeping a small satellite position beside broad funds who can tolerate drops like the 35% decline from February 2021 to November 2023.
Look elsewhere if
- Income seekers: the yield was just 0.42% as of October 27, 2026, paid quarterly.
- Investors wanting broad, low-cost health care exposure: Fidelity MSCI Health Care Index ETF (FHLC) charges 0.084% and covers the wider sector.
- Anyone counting on steady long-term growth: XPH returned 1.88% a year over the 10 years through December 31, 2025, with sharp losses in 2016 and 2018.
Close alternatives
Matched by closest holdings overlap from the latest N-PORT reports (no similar fund shares 20% or more of its holdings).
| Fund | Overlap | Cost | Net assets | 1 yr | 3 yr |
|---|---|---|---|---|---|
| XPH this fund | — | 0.35% | $428.4M | +30.8% | +23.1% |
| IHE iShares U.S. Pharmaceuticals ETF | 38% | 0.39% | $1.14B | +39.8% | +25.0% |
| PJP Invesco Pharmaceuticals ETF | 32% | 0.56% | $472.1M | +34.0% | +24.3% |
| FTXH First Trust Nasdaq Pharmaceuticals ETF | 15% | 0.6% | $36.2M | +46.9% | +23.4% |
| PPH VanEck Pharmaceutical ETF | 13% | 0.36% | $879.5M | +26.4% | +17.9% |
| FXH First Trust Health Care AlphaDEX Fund | 12% | 0.6% | $1.05B | +19.7% | +15.1% |
| FHLC Fidelity MSCI Health Care Index ETF | 11% | 0.084% | $3.29B | +23.8% | +16.0% |
Questions investors ask
Does XPH pay dividends?
Yes, but not much. XPH pays dividends quarterly. Over the 12 months through October 27, 2026, it paid $0.27 per share, a yield of 0.42%. Many of the fund's holdings are smaller drug developers that pay little or nothing, so the payout is modest. Investors looking mainly for income from a pharmaceutical fund would get only a small amount of cash from this one.
What's the difference between XPH and IHE?
Both are U.S. pharmaceutical index ETFs, but XPH costs less and is smaller. XPH charges 0.35% a year and iShares U.S. Pharmaceuticals ETF (IHE) charges 0.39%. As of June 30, 2026, XPH had about $428 million in net assets and IHE about $1.14 billion. In price returns through October 27, 2026, IHE gained 39.8% over one year against XPH's 30.8%. Over three years, IHE returned 25% a year and XPH 23.1%. XPH's index gives its stocks roughly equal weights.
What is the expense ratio of XPH?
XPH's expense ratio is 0.35%, according to its prospectus filed October 26, 2026. That's below the 0.43% average of similar funds, and it ranked 2nd lowest of 7. In the SEC's standard example ($10,000 invested, 5% yearly return, shares sold at the end), costs would come to about $36 after one year, $197 after five years and $443 after ten years.
Is XPH a good long-term investment?
Its long-term record has been weak and uneven. Through December 31, 2025, XPH returned 1.88% a year over 10 years and 2.82% a year over five years, even after a 31.63% gain in 2025. It lost 23.22% in 2016 and 15.2% in 2018. Its worst quarter was a 24.28% drop at the end of 2018. As a single-industry fund, it's more volatile than a broad market fund.
What are XPH's top holdings?
As of June 30, 2026, XPH's largest holdings were Definium Therapeutics (3.09%), MBX Biosciences (2.72%), Alumis (2.14%), AtaiBeckley (2.13%) and Trevi Therapeutics (2.12%). The fund held 65 stocks, and its top 10 made up just 22.18% of assets. That's because the index weights companies roughly equally. About 89.75% of assets were in U.S. companies, with small slices in Canada, Ireland, the UK and Singapore.