Should You Bet Big on Drugmakers? VanEck Pharmaceutical ETF vs. Invesco Healthcare ETF Compared.

Source The Motley Fool

Key Points

  • The Invesco S&P 500 Equal Weight Health Care ETF provides broader exposure with 60 holdings compared to 26 for the VanEck Pharmaceutical ETF.

  • The VanEck Pharmaceutical ETF currently offers a significantly higher dividend yield and a lower expense ratio than its counterpart.

  • The VanEck Pharmaceutical ETF has demonstrated lower price volatility relative to the S&P 500 and stronger five-year total returns.

  • 10 stocks we like better than Invesco Exchange-Traded Fund Trust - Invesco S&P 500 Equal Weight Health Care ETF ›

The Invesco S&P 500 Equal Weight Health Care ETF (NYSEMKT:RSPH) offers broad, equal-weighted sector exposure, while the VanEck Pharmaceutical ETF (NASDAQ:PPH) provides a cheaper, concentrated play on global drug manufacturers.

Healthcare investors often choose between targeted subsectors or broad industry diversification. These two funds represent different paths: The VanEck fund homes in on pharmaceutical giants, whereas the Invesco fund equal-weights the entire healthcare spectrum within the S&P 500 to mitigate single-stock concentration.

Snapshot (cost & size)

MetricPPHRSPH
IssuerVanEckInvesco
Share price (as of 8/27/26)$114.06$37.61
Expense ratio0.36%0.4%
1-yr return (as of 8/27/26)31.1%29.1%
Dividend yield1.9%0.6%
Beta0.430.81
AUM$1.0 billion$838.9 million

Beta measures price volatility relative to the S&P 500; beta is calculated from monthly returns over the available fund history (up to five years). The 1-yr return represents total return over the trailing 12 months. Dividend yield is the trailing-12-month distribution yield.

The VanEck fund is slightly more affordable with a 0.36% expense ratio. It also provides a higher payout for income seekers, with a yield gap of 1.24 percentage points over the Invesco fund.

Performance & risk comparison

MetricPPHRSPH
Max drawdown (5 yr)(20.3%)(22.0%)
Growth of $1,000 over 5 years (total return)$1,658$1,243

What's inside

The Invesco S&P 500 Equal Weight Health Care ETF holds 60 positions across the healthcare (98%) and technology (2%) sectors. Its largest positions include Moderna at 4.4%, Veeva Systems at 2.4%, and Charles River Laboratories International at 2.2%. It was launched in 2006. Invesco S&P 500 Equal Weight Health Care ETF has paid $0.23 per share over the trailing 12 months, which on its recent ~$37.61 share price works out to a 0.6% yield.

The VanEck Pharmaceutical ETF is fully focused on healthcare at 100% and holds 26 positions. Its largest positions include Eli Lilly & Co at 18.95%, Merck & Co at 11.2%, and Novartis at 9.3%. It was launched in 2011. VanEck Pharmaceutical ETF has paid $2.17 per share over the trailing 12 months, which on its recent ~$114.06 share price works out to a 1.9% yield.

For more guidance on ETF investing, check out the full guide at this link.

Which looks like the better buy

In this match-up, PPH seems to check all the boxes. It's slightly less expensive than RSPH with a higher dividend yield and a much larger portfolio of assets under management, granting it both stability and liquidity. Its one- and five-year returns beat RSPH's with lower risk. But choosing PPH means going all-in on drug manufacturers, and just 26 of them at that. These are the largest, most liquid pharmaceutical companies, and the fund has global exposure, but industry-related risks, like high research and development (R&D) expenses, regulatory risks, and patent expiry concerns, remain.

RSPH's structure mitigates many of those concerns, with 60 positions across the healthcare spectrum, all equally weighted to reduce the risks of single-stock concentration. It also pays a modest dividend and has returned a respectable 29% over the last year, beating the S&P 500. Healthcare is a relatively resilient market sector and can be a defensive position in your portfolio. People need medical treatment regardless of economic conditions, and the aging population in America ensures the sector will experience both demand and growth over the next few decades.

If you're a long-term investor seeking growth and yield, and are comfortable with a concentration in the pharmaceutical industry, PPH could be a strong choice. If you're looking for a broader play on the healthcare field, you may be more comfortable with RSPH's portfolio.

Should you buy stock in Invesco Exchange-Traded Fund Trust - Invesco S&P 500 Equal Weight Health Care ETF right now?

Before you buy stock in Invesco Exchange-Traded Fund Trust - Invesco S&P 500 Equal Weight Health Care ETF, consider this:

The Motley Fool Stock Advisor analyst team just identified what they believe are the 10 best stocks for investors to buy now… and Invesco Exchange-Traded Fund Trust - Invesco S&P 500 Equal Weight Health Care ETF wasn’t one of them. The 10 stocks that made the cut could produce monster returns in the coming years.

Consider when Netflix made this list on December 17, 2004... if you invested $1,000 at the time of our recommendation, you’d have $410,024!* Or when Nvidia made this list on April 15, 2005... if you invested $1,000 at the time of our recommendation, you’d have $1,372,815!*

Now, it’s worth noting Stock Advisor’s total average return is 950% — a market-crushing outperformance compared to 211% for the S&P 500. Don't miss the latest top 10 list, available with Stock Advisor, and join an investing community built by individual investors for individual investors.

See the 10 stocks »

*Stock Advisor returns as of September 11, 2026.

Sarah Sidlow has no position in any of the stocks mentioned. The Motley Fool has positions in and recommends Eli Lilly, Merck, Moderna, and Veeva Systems. The Motley Fool has a disclosure policy.

Disclaimer: For information purposes only. Past performance is not indicative of future results.
placeholder
Japanese Yen rallies to February 18 high as upbeat wage data and GDP lift BoJ hike betsThe USD/JPY pair declines for the second straight day – also marking the fourth day of a fall in the previous five – and sinks to its lowest level since February 18, around mid-153.00s during the Asian session on Tuesday.
Author  FXStreet
Sep 08, Tue
The USD/JPY pair declines for the second straight day – also marking the fourth day of a fall in the previous five – and sinks to its lowest level since February 18, around mid-153.00s during the Asian session on Tuesday.
placeholder
Gold slumps to near $4,350 amid oil-driven inflation fears, US inflation data in focusGold price (XAU/USD) falls to near $4,350 during the early Asian session on Wednesday. The precious metal faces some selling pressure as rising oil prices fueled inflation ‌concerns and boosted expectations for a rate hike by the Federal Reserve (Fed) in September.
Author  FXStreet
Sep 09, Wed
Gold price (XAU/USD) falls to near $4,350 during the early Asian session on Wednesday. The precious metal faces some selling pressure as rising oil prices fueled inflation ‌concerns and boosted expectations for a rate hike by the Federal Reserve (Fed) in September.
placeholder
Over 140,000 Traders Liquidated as Bitcoin Nears $78,000 in Four-Day Drop, Altcoins Broadly SlumpOver 140,000 traders liquidated in crypto market as BTC drops for fourth straight day to test $78,000 level; altcoins crash.On September 10, the cryptocurrency market experienced a new ro
Author  TradingKey
Yesterday 01: 39
Over 140,000 traders liquidated in crypto market as BTC drops for fourth straight day to test $78,000 level; altcoins crash.On September 10, the cryptocurrency market experienced a new ro
placeholder
Brent holds above $100 as tanker attacks tighten supply — but four forces are capping the rallyBrent crude is holding above $100 a barrel for a second session, its first close above the level since late July, as tanker attacks near the Strait of Hormuz squeeze an already tight physical market. Yet the rally has been gradual: 8.3 mb/d of Gulf output is still shut in, diesel is at a record, and forecasts now range from $74 to $100.
Author  Irene Q.
Yesterday 07: 34
Brent crude is holding above $100 a barrel for a second session, its first close above the level since late July, as tanker attacks near the Strait of Hormuz squeeze an already tight physical market. Yet the rally has been gradual: 8.3 mb/d of Gulf output is still shut in, diesel is at a record, and forecasts now range from $74 to $100.
placeholder
US August CPI lands tonight: after a 5.4% PPI shock, will the Fed hike on September 16?US August PPI came in at 5.4% year-on-year, above the 5.3% consensus, with core PPI at 4.6%. Traders have pushed the odds of a 25bp Fed hike on September 15-16 to around 70%. Tonight's CPI is the last major inflation print before the decision — here is the full calendar, the consensus numbers, and what a hot versus cool reading would mean for the dollar, yields, gold and stocks.
Author  Irene Q.
5 hours ago
US August PPI came in at 5.4% year-on-year, above the 5.3% consensus, with core PPI at 4.6%. Traders have pushed the odds of a 25bp Fed hike on September 15-16 to around 70%. Tonight's CPI is the last major inflation print before the decision — here is the full calendar, the consensus numbers, and what a hot versus cool reading would mean for the dollar, yields, gold and stocks.
goTop
quote