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ETF Profiles

What Is the RXL ETF? Returns, Expense Ratio, Holdings and Alternative ETFs

Updated July 2, 2026 · First published July 2, 2026

ProShares Ultra Health Care 2X (RXL) is a leveraged ETF that seeks to deliver twice the daily return of a US health care sector index. It is used for short-term directional bets on the pharmaceutical, biotech and medical device industries and related stocks, and it draws the attention of aggressive investors who understand its leverage structure and volatility.

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What Is the ProShares Ultra Health Care 2X ETF?

This is a leveraged ETF designed to track twice the daily performance of a US health care sector index. It provides amplified exposure to the daily moves of the health care industry as a whole, including pharmaceuticals, biotech, medical devices and health care services.

It suits aggressive short-term investors who want amplified exposure to near-term gains in the health care sector and who understand the compounding effects and volatility of leverage.

It is a passively managed (index-tracking) ETF run by ProShares.

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How Do You Invest in ProShares Ultra Health Care 2X?

ItemDetails
Tracked indexUS health care sector index
Management styleLeveraged (tracks twice the daily return)
Rebalancing frequencyDaily rebalancing
Dividend frequencyIrregular
IssuerProShares
Expense ratio0.95%

To track twice the daily return of the health care sector index, the fund uses derivatives such as swaps. Because the target multiple resets each day, the cumulative return over multiple days can differ from a simple doubling, depending on the path and volatility of the index.

  • Twice-daily leveraged exposure to the health care industry
  • A structure built for short-term directional trading
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ProShares Ultra Health Care 2X Size and Costs (AUM and Management Fee)

Assets under management (AUM) stand at $111.9M, and the expense ratio is 0.95% per year.

Because of the leveraged structure, volatility losses can accumulate over a long holding period, making the fund better suited to short-term use.

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ProShares Ultra Health Care 2X Performance and Trends

1-Year Price Performance
Dividend & Yield
Dividend Yield 0.90%
Annual Dividend (TTM) $0.63
1Y Return +54.7%
Next Ex-Dividend Date 9/23/2026
52-Week Price Range
$70
Low $43 High $70
vs. low +64.08% vs. high 0.36%

Because it reflects the moves of the health care sector in amplified form, gains expand sharply when the underlying industry is strong, and losses expand as well when it is weak. Given its leveraged nature, volatility is considerably greater than that of the underlying index.

The fund is sensitive to issues affecting the health care industry as a whole, such as interest rates, regulation and drug pricing policy, and its fund flows swing widely with demand for short-term directional trading. Trading tends to become more active when market volatility rises.

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ProShares Ultra Health Care 2X Strengths and Weaknesses

Its strength is amplified exposure to health care upside, while its weaknesses are the greater volatility that comes with leverage and compounding losses over long holding periods.

💪 Key Strengths

Amplified sector exposure
It reflects twice the daily gains of the health care industry, offering large short-term profit potential.
Short-term trading use
In periods with a clear direction, you can expand exposure in a capital-efficient way.
Sector concentration
It is diversified across pharmaceuticals, biotech and medical devices while still offering concentrated exposure to health care.

⚠️ Points to Watch

Leveraged volatility
Price swings are amplified, so losses can be much larger than those of the underlying index.
Compounding losses
In choppy, sideways markets with high volatility, cumulative returns can be significantly eroded.
Unsuitable for the long term
Because of its daily reset structure, it is not suited to long-term holding.
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Alternative ETFs and Related Products to ProShares Ultra Health Care 2X

Products shown in the table such as TQQQ, SOXL, QLD and SSO provide leveraged exposure to Nasdaq, semiconductor and large-cap indexes. Their sectors differ, but they share the same daily leverage structure. Alternatives that focus on the health care sector itself include CURE, which offers a higher multiple, the inverse product RXD, which bets on the opposite direction, and XLV and IHI, which invest in health care broadly without leverage.

Peer Comparison ETFs
TickerNamePriceChangeAUMTotal Expense RatioDividend Yield1Y
TQQQTQQQProShares UltraPro QQQ 3x Shares$62.01-10.5%$35.8B0.78%0.78%+7.8%
SOXLSOXLDirexion Daily Semiconductor Bull 3X ETF$77.05-24.8%$24.4B0.75%0.12%+62.6%
QLDQLDProShares Ultra QQQ 2x Shares$82.59-6.9%$14.2B0.89%0.15%+11.6%
SSOSSOProShares Ultra S&P500 2x Shares$67.67-3.6%$8.8B0.84%0.7%+16.6%
SPXLSPXLDirexion Daily S&P 500 Bull 3X ETF$270.35-5.4%$7.1B0.84%0.54%+21.6%
Top Holdings
TickerNameWeightPriceChangeMarket CapP/EDividend Yield
LLYLilly(Eli) & Co0.33%$1417.54+3.2%$1.33T46.60.48%
IQMMIQMMProShares GENIUS Money Market ETF0.31%$100.12+0.0%$0.0M-2.41%
JNJJohnson & Johnson0.22%$273.20-0.7%$657.7B41.41.96%
ABBVAbbvie Inc0.06%$294.89+1.4%$521.1B83.42.32%
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ProShares Ultra Health Care 2X Investor Checkpoints

Here are the points to check before investing in RXL. Leveraged ETFs differ greatly in character from ordinary ETFs, so it is necessary to confirm the structure and your holding period in advance.

CheckpointWhat to CheckCurrent Status
⚡ Leverage structureUnderstand the daily reset mechanismNeeds confirmation
⏳ Holding periodWhether the purpose is short-term tradingSuited to the short term
💵 Expense ratioCheck the cost of a leveraged productSomewhat high
📊 Sector concentrationExposure to health care industry riskSector concentrated

Leverage and the daily reset structure greatly amplify volatility, and in sideways markets, compounding losses can accumulate even if the underlying index stays flat. If the direction goes against you, losses can grow quickly.

It is a trading tool suited to aggressive investors who want amplified exposure to short-term gains in the health care sector. It is unsuitable for long-term investing, and if you want lower-volatility exposure, a non-leveraged product such as XLV is a better fit.

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Disclaimer: This content is for informational purposes only and does not constitute investment advice. All investment responsibility lies with the investor.

This article reflects information as of July 2, 2026.

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