Dividend-adjusted total return · S&P 500 uses VOO · Feb 1, 2023 – Nov 4, 2026MEDXS&P 500 · VOO
Horizon Kinetics Medical ETFMEDX
$38.55
+1.9% last session
+16.1% YTD
Data as of 11/4/20264:00 PM ET · End-of-day
| Returns | 1D | 1M | 3M | YTD | 1Y | 3Y | 5Y | MAX |
|---|---|---|---|---|---|---|---|---|
| Total return | +1.9% | +11.0% | +9.1% | +16.1% | +25.3% | +53.7% | — | +35.3% |
| Peer average | +2.7% | +8.5% | +8.9% | +24.4% | +33.4% | +84.3% | +34.0% | — |
| S&P 500 · VOO | +1.6% | −1.6% | 0.0% | +13.4% | +13.5% | +91.7% | +81.2% | — |
Key Statistics
Open all fund facts →- AUM
- $18M
- Expense ratio
- 0.85%
- Distribution yield
- 1.1%
- NAV
- $37.83
- Volume
- 658
- Avg. volume 30D
- 580
- High today
- $38.61
- Low today
- $38.05
- Previous close
- $37.83
- 52-week high
- $38.61
- 52-week low
- $31.03
- Our risk indicator
- 4/5
MEDX in One Breath
MEDX Among Health Care ETFs
YTDEnd-of-day Nov 5, 2026 · 33 Health care ETFs by YTD
$10,000 in MEDX
5Y$10,000 in MEDX became
$13,531
In the S&P 500 (VOO)
$19,623
Total return, dividends in · Feb 1, 2023 – Nov 4, 2026 · S&P 500 uses VOO
MEDX’s Top Holdings
TodayLLYEli Lilly &21.0%ABBV9.8%NVS6.8%JNJ5.7%AMGN4.8%AZN4.7%ALKS4.7%MRK4.3%BMY4.1%PFE3.5%BIIB3.4%REGN3.1%GSK2.4%CRSP2.3%IONS2.2%ALNY1.8%REPL1.3%BEAM1.1%SDZNYGALTNTLA10 more
LLYEli Lilly &21.0%ABBV9.8%NVS6.8%JNJ5.7%AMGN4.8%AZN4.7%ALKS4.7%MRK4.3%BMY4.1%PFE3.5%BIIB3.4%REGN20 more
Drug Manufacturers - GeneralBiotechnologyDrug Manufacturers - Specialty
Horizon Kinetics MEDX · 32 holdings · tile size = share of the fund · as of Nov 4, 2026
What MEDX Holds
TodayDrug Manufacturers - General70.6%
LLY 21.0 · ABBV 9.8 · NVS 6.8 · JNJ 5.7 · AMGN 4.8 · AZN 4.7 · MRK 4.3
Biotechnology14.6%
REGN 3.1 · CRSP 2.3 · IONS 2.2 · ALNY 1.8 · REPL 1.3 · BEAM 1.1 · GALT
Drug Manufacturers - Specialty & Generic6.4%
ALKS 4.7 · SDZNY · HLN · VTRS
Medical - Devices0.5%
GEHC · PACB
Other holdings7.9%
LTRN · DCOY
Horizon Kinetics MEDX · share of the fund by industry · as of Nov 4, 2026
Eli’s Share of MEDX
Today21.0%
$210 of every $1,000 in MEDX is Eli
Eli held by MEDX
$3.7M
Horizon Kinetics MEDX · each square = $10 of $1,000 · as of Nov 4, 2026
MEDX’s Share of Health Care ETFs
Today0.0%
of the $109B in 39 Health care ETFs
$17.8M0.0%
$49.1B45.0%
$19.1B17.5%
$40.8B37.4%
Health care ETF AUM · Nov 5, 2026
MEDX Fee per $100 vs Peers
TodayExpense ratio · Health care peers · Nov 5, 2026
Inside MEDX
32 holdings · as of Nov 4, 2026MEDX
Horizon Kinetics Medical ETF
Today| # | Ticker | Company | Weight ▼ |
|---|---|---|---|
| 1 | LLY | Eli Lilly & | 21.04% |
| 2 | ABBV | AbbVie | 9.76% |
| 3 | NVS | Novartis AG | 6.79% |
| 4 | JNJ | Johnson & Johnson | 5.69% |
| 5 | AMGN | Amgen | 4.84% |
| 6 | AZN | AstraZeneca | 4.69% |
| 7 | ALKS | Alkermes | 4.68% |
| 8 | MRK | Merck & | 4.32% |
| 9 | BMY | Bristol-Myers Squibb | 4.14% |
| 10 | PFE | Pfizer | 3.45% |
Drug Manufacturers - GeneralBiotechnologyDrug Manufacturers - SpecialtyMedical - DevicesOther
Horizon Kinetics MEDX · current holdings by weight · as of Nov 4, 2026 · each tile is one holding · top 20 = 88.9%
How It Compares
MEDX
Horizon Kinetics Medical ETF’s Peers
YTDHealth care peers · YTD and past-year returns · as of Nov 5, 2026 · sorted by AUM
Head to Head
Put MEDX head to head with XLV →XLV vs MEDX
YTDYear to date
XLV wins+7.9 pts
Past year
XLV wins+8.2 pts
Fee
XLV winslower fee
Yield
XLV wins+0.3 pts
AUM
XLV2761.9× more
4–0XLV wins
SPDR XLV and Horizon Kinetics MEDX · year-to-date · as of Nov 5, 2026 · AUM not scored
MEDX vs VOO
YTDMEDX · Horizon Kinetics Medical
+16.1%
VOO · S&P 500
+13.4%
Gap
2.8 pts
Horizon Kinetics MEDX and Vanguard VOO · YTD total return · as of Nov 5, 2026
MEDX vs Its Peer Average
YTDMEDXAvsBPeer average
1D+1.9%+2.7%
1M+11.0%+8.5%
3M+9.1%+8.9%
YTD+16.1%+24.4%
1Y+25.3%+33.4%
3Y+53.7%+84.3%
5Y[…]+34.0%
2–4Peer average wins
38 Health care peers · each row scaled to its leader
The Details
MEDX
Risk
1Y4/5our risk indicator
CalmerBumpier
Volatility · 1Y19.14%
Deepest drop · 1Y−10.6%
Lowest point · 5Y−13.9%
52-week range
$38.55
$31.03−0.2% from the high$38.61
Horizon Kinetics MEDX · past-year price moves · as of Nov 5, 2026
MEDX
Fund Facts
Today2023launched Jan 27
Tracks[…]
Exchange · CUSIPNASDAQ · 53656G563
StructureETF
Leverage1x
Cost on $10,000$85 a year
Go deeper
Horizon Kinetics MEDX · fund facts · as of Nov 5, 2026
MEDX
Payouts by Year
3Y$0.41per share, Dec 2025
Distribution yield1.1%
PaidOnce a year, in December
Latest ex-date · paidDec 23 · Dec 24, 2025
3 payouts added up$2.56 a share
Horizon Kinetics MEDX · distributions by ex-date · 2023–2025
All Fund FactsDocuments · trading · fees · every payout
Prospectus & Documents
SEC reported portfolio · 2026-06-30 ↗SEC reported portfolio · 2026-03-31 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2025-12-31 ↗SEC reported portfolio · 2025-09-30 ↗prospectus · SEC 497 ↗SEC reported portfolio · 2025-06-30 ↗SEC reported portfolio · 2025-03-31 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2024-12-31 ↗
Trading & Liquidity
Net asset value$37.83
Premium / discount[…]
Median spread · 30D[…]
Volume today658
Average volume · 30D580
Shares outstanding[…]
Options[…]
Fees & Costs
Net expense ratio0.85%
Gross expense ratio[…]
Management fee[…]
Cost on $10,000 a year$85.00
Our risk indicator4/5
Estimated yearly cost excludes trading costs and assumes constant assets.
Distributions
| Ex-date | Paid | Per share |
|---|---|---|
| Dec 23, 2025 | Dec 24, 2025 | $0.41 |
| Dec 24, 2024 | Dec 26, 2024 | $0.51 |
| Dec 27, 2023 | Dec 29, 2023 | $1.64 |
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