| LLYELI LILLY & Co | 732,849 | $674.0M |
| JNJJOHNSON & JOHNSON | 1,848,024 | $451.7M |
| ABBVAbbVie Inc. | 1,223,622 | $266.1M |
| MRKMerck & Co., Inc. | 1,639,510 | $197.2M |
| ABTABBOTT LABORATORIES | 1,596,019 | $163.9M |
| AMGNAMGEN INC | 433,855 | $152.7M |
| VRTXVERTEX PHARMACEUTICALS INC / MA | 296,654 | $132.5M |
| UNHUnitedHealth Group Incorporated Common Stock (DE) | 315,162 | $85.3M |
| BMYBRISTOL MYERS SQUIBB CO | 1,392,773 | $84.5M |
| PMPhilip Morris International Inc | 398,224 | $65.8M |
| AZNASTRAZENECA PLC | 301,215 | $59.2M |
| MCKMcKesson Corporation | 67,737 | $58.6M |
| NVSNovartis AG | 329,910 | $50.4M |
| PFEPFIZER INC | 1,698,192 | $47.7M |
| GMOptec International, Inc. | 630,081 | $46.9M |
| MEDPMedpace Holdings Inc. | 82,077 | $39.4M |
| GILDGILEAD SCIENCES, INC. | 270,352 | $37.7M |
| REGNREGENERON PHARMACEUTICALS, INC. | 43,972 | $34.0M |
| CORTCORCEPT THERAPEUTICS INC | 731,689 | $29.5M |
| ELVElevance Health Inc. | 96,834 | $28.3M |
| IQVIQVIA Holdings Inc. | 144,059 | $24.6M |
| GEHCGE HealthCare Technologies Inc. | 330,573 | $23.5M |
| HALOHALOZYME THERAPEUTICS, INC. | 349,137 | $22.6M |
| INCYIncyte Corp. | 226,501 | $21.3M |
| NBIXNEUROCRINE BIOSCIENCES INC | 144,529 | $19.0M |
| NVONovo Nordisk A/S | 492,883 | $18.1M |
| ZTSZoetis Inc. | 127,682 | $15.1M |
| BMRNBIOMARIN PHARMACEUTICAL INC | 263,389 | $14.9M |
| UTHRUNITED THERAPEUTICS Corp | 24,368 | $14.5M |
| BIIBBIOGEN INC. | 76,644 | $14.1M |
| OGNOrganon & Co. | 2,309,039 | $13.8M |
| MOHMolina Healthcare Inc | 89,522 | $11.9M |
| IDXXIDEXX LABORATORIES INC /DE | 20,391 | $11.5M |
| CORCencora Inc. | 36,400 | $11.4M |
| GHGuardant Health Inc. | 109,250 | $10.1M |
| GSKGSK plc American Depositary Shares (Each representing two Ordinary Shares) | 181,753 | $10.0M |
| INSPInspire Medical Systems Inc. | 181,426 | $9.4M |
| CAHCardinal Health Inc. | 43,690 | $9.2M |
| JAZZJazz Pharmaceuticals plc | 45,746 | $8.6M |
| DGXQuest Diagnostics Incorporated | 39,590 | $7.8M |
| RPRXRoyalty Pharma plc | 161,430 | $7.7M |
| ZBHZimmer Biomet Holdings Inc. | 76,315 | $6.9M |
| ALNYALNYLAM PHARMACEUTICALS, INC. | 20,256 | $6.7M |
| TECHBIO-TECHNE Corp | 124,355 | $6.5M |
| SNYSanofi | 133,553 | $6.4M |
| ADPTAdaptive Biotechnologies Corp | 445,588 | $6.2M |
| GMEDGlobus Medical Inc. | 60,570 | $5.2M |
| VTRSViatris Inc | 306,139 | $4.1M |
| INSMINSMED Inc | 21,484 | $3.5M |
| SRPTSarepta Therapeutics, Inc. | 149,850 | $3.3M |
| WSTWest Pharmaceutical Services Inc. | 12,292 | $3.1M |
| TEVATeva Pharmaceutical Industries Limited | 85,414 | $2.6M |
| TAKTakeda Pharmaceutical Company Limited American Depositary Shares (each representing 1/2 of a share of Common Stock) | 136,388 | $2.5M |
| RDYDR REDDYS LABORATORIES LTD | 181,595 | $2.5M |
| SMMTSummit Therapeutics Inc. | 113,786 | $2.2M |
| KNSAKiniksa Pharmaceuticals International, plc | 43,712 | $2.1M |
| ARGXARGENX SE | 2,788 | $2.0M |
| SHCSotera Health Company | 140,785 | $2.0M |
| MRNAModerna, Inc. | 37,150 | $1.9M |
| VCELVericel Corp | 56,916 | $1.8M |
| IMNMImmunome Inc. | 83,581 | $1.8M |
| ROIVRoivant Sciences Ltd. | 62,322 | $1.7M |
| RVMDREVOLUTION MEDICINES, INC. | 17,663 | $1.7M |
| BBIOBridgeBio Pharma, Inc. | 20,595 | $1.5M |
| DVADaVita Inc. | 9,864 | $1.5M |
| HRMYHarmony Biosciences Holdings, Inc. | 48,283 | $1.4M |
| MRVIMARAVAI LIFESCIENCES HOLDINGS, INC. | 469,341 | $1.3M |
| IRWDIRONWOOD PHARMACEUTICALS INC | 368,370 | $1.3M |
| ALKSAlkermes plc. | 31,836 | $1.1M |
| LRMRLarimar Therapeutics, Inc. | 247,912 | $1.1M |
| GMABGenmab A/S | 39,702 | $1.1M |
| ICUIICU Medical Inc. | 7,768 | $1.0M |
| BAXBaxter International Inc. | 59,042 | $992K |
| BHVNBiohaven Ltd. | 112,825 | $954K |
| FMSFresenius Medical Care AG American Depositary Shares (Each representing 1/2 of an Ordinary Share) | 40,645 | $917K |
| SNDXSyndax Pharmaceuticals Inc | 39,083 | $913K |
| AXSMAxsome Therapeutics, Inc. | 5,385 | $910K |
| ERASErasca, Inc. | 55,760 | $902K |
| FOLDAMICUS THERAPEUTICS, INC. | 58,090 | $840K |
| KURAKura Oncology, Inc. | 101,022 | $821K |
| PBHPrestige Consumer Healthcare Inc. | 13,445 | $797K |
| CPRXCATALYST PHARMACEUTICALS, INC. | 31,943 | $791K |
| ELANElanco Animal Health Inc | 32,973 | $789K |
| CRNXCrinetics Pharmaceuticals, Inc. | 20,576 | $747K |
| PTCTPTC THERAPEUTICS, INC. | 10,856 | $740K |
| CRLCHARLES RIVER LABORATORIES INTERNATIONAL, INC. | 4,085 | $705K |
| RAREUltragenyx Pharmaceutical Inc. | 31,892 | $668K |
| ONCBeOne Medicines Ltd. | 2,158 | $641K |
| MBXMBX Biosciences, Inc. | 21,163 | $632K |
| MDGLMADRIGAL PHARMACEUTICALS, INC. | 1,170 | $612K |
| PTGXProtagonist Therapeutics, Inc | 5,693 | $600K |
| ARWRARROWHEAD PHARMACEUTICALS, INC. | 9,450 | $593K |
| IONSIONIS PHARMACEUTICALS INC | 7,596 | $570K |
| INVAInnoviva, Inc. | 24,327 | $567K |
| KODKodiak Sciences Inc. | 14,869 | $567K |
| ARQTArcutis Biotherapeutics, Inc. | 23,926 | $564K |
| PGNYProgyny Inc. | 32,714 | $555K |
| PRAXPraxis Precision Medicines, Inc. | 1,599 | $515K |
| ANIKAnika Therapeutics Inc. | 35,466 | $514K |
| RGNXREGENXBIO Inc. | 58,377 | $489K |
| HLFHerbalife Ltd. | 32,786 | $483K |
| TWSTTwist Bioscience Corp | 10,061 | $478K |
| ALHCAlignment Healthcare Inc. | 26,692 | $470K |
| ARDXARDELYX, INC. | 68,765 | $412K |
| ICLRICON plc | 3,700 | $409K |
| SRRKScholar Rock Holding Corp | 8,231 | $405K |
| NUVBNuvation Bio Inc. | 93,963 | $403K |
| CYTKCYTOKINETICS INC | 6,048 | $399K |
| AUPHAurinia Pharmaceuticals Inc. | 26,395 | $391K |
| DAWNDay One Biopharmaceuticals, Inc. | 18,197 | $390K |
| ALLOAllogene Therapeutics, Inc. | 157,235 | $384K |
| BHCBausch Health Companies Inc. | 70,432 | $380K |
| NEOGNEOGEN CORP | 40,436 | $376K |
| SUNSUNSET ISLAND GROUP | 5,707 | $371K |
| XNCRXencor Inc | 30,512 | $368K |
| KYMRKymera Therapeutics, Inc. | 4,381 | $365K |
| MMSIMerit Medical Systems Inc. | 5,206 | $359K |
| ACADACADIA PHARMACEUTICALS INC | 15,772 | $351K |
| ADMAADMA BIOLOGICS, INC. | 38,147 | $344K |
| RGENREPLIGEN CORP | 2,910 | $343K |
| AVNSAvanos Medical Inc. | 24,305 | $341K |
| OMEROMEROS CORP | 31,586 | $334K |
| MYGNMYRIAD GENETICS INC | 73,981 | $333K |
| PAHCPHIBRO ANIMAL HEALTH CORP | 5,983 | $331K |
| QGENQIAGEN N.V. | 8,217 | $329K |
| PCVXVaxcyte, Inc. | 5,630 | $327K |
| VIRVir Biotechnology, Inc. | 35,864 | $321K |
| ANIPANI PHARMACEUTICALS INC | 4,116 | $317K |
| GLPGGalapagos NV | 10,310 | $309K |
| TVTXTravere Therapeutics, Inc. | 9,883 | $294K |
| NTLAIntellia Therapeutics, Inc. | 22,532 | $289K |
| RCKTRocket Pharmaceuticals Inc. | 78,974 | $283K |
| RYTMRHYTHM PHARMACEUTICALS, INC. | 3,215 | $280K |
| OSCROscar Health Inc. | 21,601 | $248K |
| DNLIDenali Therapeutics Inc. | 12,658 | $243K |
| RLAYRelay Therapeutics, Inc. | 24,195 | $241K |
| MIRMMirum Pharmaceuticals, Inc. | 2,453 | $227K |
| DRTSAlpha Tau Medical Ltd. | 32,012 | $226K |
| NEONeoGenomics Inc. | 30,198 | $224K |
| ACHCAcadia Healthcare Company Inc. | 9,578 | $224K |
| RIOTRiot Platforms, Inc. | 17,200 | $213K |
| AGLagilon health inc. | 26,120 | $207K |
| NRIXNurix Therapeutics, Inc. | 13,328 | $207K |
| RXRXRECURSION PHARMACEUTICALS, INC. | 63,919 | $196K |
| EBSEmergent BioSolutions Inc. | 23,133 | $192K |
| ABCLAbCellera Biologics Inc. | 52,299 | $183K |
| CTMXCytomX Therapeutics, Inc. | 37,806 | $178K |
| XERSXeris Biopharma Holdings, Inc. | 30,583 | $177K |
| LXRXLEXICON PHARMACEUTICALS, INC. | 110,458 | $172K |
| GRFSGrifols S.A. | 21,360 | $171K |
| ORGOOrganogenesis Holdings Inc. | 62,909 | $149K |
| PRGOPERRIGO Co plc | 13,816 | $148K |
| REPLReplimune Group, Inc. | 18,422 | $141K |
| ALDXAldeyra Therapeutics, Inc. | 81,223 | $137K |
| FATEFATE THERAPEUTICS INC | 113,544 | $136K |
| SANASana Biotechnology, Inc. | 40,183 | $116K |
| TLRYTilray Brands, Inc. | 17,847 | $115K |
| PRLDPrelude Therapeutics Inc | 32,875 | $112K |
| EDITEditas Medicine, Inc. | 45,080 | $111K |
| IVAInventiva S.A. | 20,000 | $111K |
| BCRXBIOCRYST PHARMACEUTICALS INC | 11,154 | $106K |
| NUSNu Skin Enterprises Inc. | 14,098 | $103K |
| ANNXAnnexon, Inc. | 17,979 | $100K |
| IBRXImmunityBio, Inc. | 12,085 | $93K |
| MDXGMiMedx Group Inc | 21,316 | $84K |
| PBYIPUMA BIOTECHNOLOGY, INC. | 13,013 | $83K |
| PGENPRECIGEN, INC. | 21,250 | $82K |
| GUTSFractyl Health Inc. | 168,500 | $77K |
| CRONCronos Group Inc. | 30,519 | $77K |
| TKNOAlpha Teknova, Inc. | 25,844 | $75K |
| NAGENiagen Bioscience, Inc. | 16,577 | $73K |
| IOVAIOVANCE BIOTHERAPEUTICS, INC. | 19,387 | $68K |
| TARAProtara Therapeutics, Inc. | 12,748 | $66K |
| BCYCBICYCLE THERAPEUTICS PLC | 13,570 | $63K |
| LSTALISATA THERAPEUTICS, INC. | 12,183 | $61K |
| CHRSCoherus Oncology, Inc. | 35,968 | $61K |
| RZLTRezolute, Inc. | 19,923 | $61K |
| NKTXNkarta, Inc. | 28,439 | $60K |
| ALECAlector, Inc. | 26,976 | $58K |
| SIGASIGA TECHNOLOGIES INC | 10,788 | $58K |
| CMPSCOMPASS Pathways plc | 10,204 | $56K |
| RFLRafael Holdings, Inc. | 44,732 | $56K |
| CNTXContext Therapeutics Inc. | 20,000 | $52K |
| AVXLANAVEX LIFE SCIENCES CORP. | 14,170 | $44K |
| SGMOSANGAMO THERAPEUTICS, INC | 163,943 | $40K |
| GOSSGossamer Bio, Inc. | 106,519 | $35K |
| MXCTMaxCyte Inc. | 45,662 | $32K |
| SKINThe Beauty Health Company | 33,617 | $30K |
| HUMAHumacyte Inc. | 48,100 | $29K |
| ESPREsperion Therapeutics, Inc. | 10,063 | $28K |
| OPKOPKO HEALTH, INC. | 23,471 | $27K |
| HURATuHURA Biosciences, Inc./NV | 14,860 | $27K |
| MNKDMANNKIND CORP | 10,475 | $26K |
| MBOTMicrobot Medical Inc. | 10,633 | $26K |
| TMCITreace Medical Concepts Inc. | 14,325 | $19K |
| INMBInmune Bio, Inc. | 14,042 | $16K |
| RANIRani Therapeutics Holdings, Inc. | 19,090 | $14K |
| HRTXHERON THERAPEUTICS, INC. /DE/ | 17,243 | $14K |
| GTBPGT Biopharma, Inc. | 20,023 | $8K |