PPH vs. TRUH

Last updated Aug 4, 2026

PPH (VanEck Pharmaceutical ETF) and TRUH (VanEck Healthcare TruSector ETF) are both Health & Biotech Equities funds from VanEck. PPH is passively managed, while TRUH is actively managed. Their correlation of 0.89 means they have usually moved in the same direction. PPH charges 0.36%/yr vs 0.10%/yr for TRUH.

Performance

PPH vs. TRUH - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in VanEck Pharmaceutical ETF (PPH) and VanEck Healthcare TruSector ETF (TRUH). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

PPH

• 1D: -1.60%
• 1M: -2.48%
• 6M: 1.87%
• YTD: 6.76%
• 1Y: 31.28%
• 3Y*: 13.22%
• 5Y*: 9.77%
• 10Y*: 7.89%
• ALL TIME*: 5.70%

TRUH

• 1D: -0.25%
• 1M: -0.53%
• 6M: —
• YTD: —
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —
• ALL TIME*: —

*Multi-year figures are annualized to reflect compound growth (CAGR)

Liquidity Comparison

Position	Avg. Volume Value (2W)	Avg. Volume Value (1M)	Avg. Volume Value (3M)
PPH VanEck Pharmaceutical ETF	$27.28M	$26.89M	$27.29M
TRUH VanEck Healthcare TruSector ETF	$24.34K	$32.62K	$24.57K

PPH vs. TRUH - Yearly Performance Comparison

	2026 (YTD)
PPH VanEck Pharmaceutical ETF	4.42%
TRUH VanEck Healthcare TruSector ETF	10.68%

Correlation

The correlation between PPH and TRUH is 0.89, meaning they have usually moved in the same direction, including during past declines.

	Correlation
Correlation (All Time) Calculated using the full available price history since Apr 2, 2026	0.89

Return for Risk

PPH vs. TRUH — Risk / Return Rank

Compare historical risk-adjusted metric ranks over the past 12 months.

PPH

PPH Risk / Return Rank: 74
PPH Sharpe Ratio Rank: 75
PPH Sortino Ratio Rank: 82
PPH Omega Ratio Rank: 72
PPH Calmar Ratio Rank: 80
PPH Martin Ratio Rank: 60

TRUH

Risk / return metrics aren't available yet — we need at least 12 months of trading data to calculate them.

The rank (0–100) uses a weighted average of the Sharpe, Sortino, Omega, Calmar, and Martin percentile ranks for the trailing 12 months. Higher means stronger historical risk-adjusted performance within the peer group.

PPH vs. TRUH - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for VanEck Pharmaceutical ETF (PPH) and VanEck Healthcare TruSector ETF (TRUH). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	PPH	TRUH	Difference
Sharpe ratio: Return per unit of total volatility	1.76	—	—
Sortino ratio: Return per unit of downside risk	2.74	—	—
Omega ratio: Gain probability vs. loss probability	1.31	—	—
Calmar ratio: Return relative to maximum drawdown	2.92	—	—
Martin ratio: Return relative to average drawdown	7.38	—	—

Drawdowns

PPH vs. TRUH - Drawdown Comparison

The maximum PPH drawdown since its inception was -51.45%, which is greater than TRUH's maximum drawdown of -4.51%. Use the drawdown chart below to compare losses from any high point for PPH and TRUH.

Drawdown Indicators

	PPH	TRUH	Difference
Max Drawdown Largest peak-to-trough decline	-51.45%	-4.51%	-46.94%
Max Drawdown (1Y) Largest decline over 1 year	-10.76%	—	—
Max Drawdown (3Y) Largest decline over 3 years	-18.06%	—	—
Max Drawdown (5Y) Largest decline over 5 years	-20.26%	—	—
Max Drawdown (10Y) Largest decline over 10 years	-29.70%	—	—
Current Drawdown Current decline from peak	-4.35%	-2.99%	-1.36%
Average Drawdown Average peak-to-trough decline	-17.22%	-1.66%	-15.56%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.25%	—	—

Volatility

Volatility by Period

	PPH	TRUH	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.91%	—	—
Volatility (6M) Calculated over the trailing 6-month period	13.58%	—	—
Volatility (1Y) Calculated over the trailing 1-year period	17.90%	17.52%	+0.38%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	15.44%	17.52%	-2.08%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	17.07%	17.52%	-0.45%

PPH vs. TRUH - Expense Ratio Comparison

PPH has a 0.36% expense ratio, which is higher than TRUH's 0.10% expense ratio.

Dividends

PPH vs. TRUH - Dividend Comparison

PPH's dividend yield for the trailing twelve months is around 2.00%, more than TRUH's 0.30% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
PPH VanEck Pharmaceutical ETF	2.00%	1.78%	1.98%	2.09%	1.55%	1.62%	1.66%	1.77%	1.97%	1.92%	2.43%	1.93%
TRUH VanEck Healthcare TruSector ETF	0.30%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%

Frequently Asked Questions

Can I hold both PPH and TRUH in my portfolio?

PPH and TRUH have a correlation of 0.89, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which ETF is better, PPH or TRUH?

On fees, TRUH is cheaper at 0.10% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, PPH or TRUH?

TRUH is cheaper with a 0.10% expense ratio, compared with 0.36% for PPH.

Which ETF pays a higher dividend yield, PPH or TRUH?

PPH has the higher dividend yield at 2.00%, compared with 0.30% for TRUH.

What is the main difference between PPH and TRUH?

Their fees differ too: 0.36% for PPH and 0.10% for TRUH.