| LLYELI LILLY & Co | 693,861 | $638.0M |
| JNJJOHNSON & JOHNSON | 1,928,325 | $471.3M |
| AMGNAMGEN INC | 1,076,357 | $378.7M |
| MRKMerck & Co., Inc. | 2,795,221 | $336.2M |
| ABBVAbbVie Inc. | 1,316,270 | $286.2M |
| MCKMcKesson Corporation | 146,129 | $126.4M |
| UNHUnitedHealth Group Incorporated Common Stock (DE) | 428,226 | $115.9M |
| BMYBRISTOL MYERS SQUIBB CO | 1,744,281 | $105.8M |
| REGNREGENERON PHARMACEUTICALS, INC. | 123,954 | $95.7M |
| GILDGILEAD SCIENCES, INC. | 621,970 | $86.7M |
| PMPhilip Morris International Inc | 494,146 | $81.7M |
| ABTABBOTT LABORATORIES | 724,342 | $74.4M |
| AZNASTRAZENECA PLC | 371,923 | $73.3M |
| GSKGSK plc American Depositary Shares (Each representing two Ordinary Shares) | 1,231,009 | $67.9M |
| VRTXVERTEX PHARMACEUTICALS INC / MA | 131,600 | $58.8M |
| PFEPFIZER INC | 1,862,314 | $52.3M |
| GMOptec International, Inc. | 556,802 | $41.5M |
| NVSNovartis AG | 241,552 | $36.9M |
| TERNTerns Pharmaceuticals, Inc. | 557,361 | $29.4M |
| TMBPioneer Green Farms, Inc. | 1,107,840 | $28.3M |
| NBIXNEUROCRINE BIOSCIENCES INC | 160,869 | $21.2M |
| ELVElevance Health Inc. | 68,255 | $20.0M |
| MEDPMedpace Holdings Inc. | 39,977 | $19.2M |
| UTHRUNITED THERAPEUTICS Corp | 27,937 | $16.6M |
| BMRNBIOMARIN PHARMACEUTICAL INC | 268,901 | $15.2M |
| CAHCardinal Health Inc. | 70,818 | $15.0M |
| ZTSZoetis Inc. | 117,842 | $13.9M |
| BIIBBIOGEN INC. | 72,036 | $13.2M |
| NVONovo Nordisk A/S | 330,742 | $12.1M |
| INCYIncyte Corp. | 121,091 | $11.4M |
| MOHMolina Healthcare Inc | 82,225 | $11.0M |
| IQVIQVIA Holdings Inc. | 60,612 | $10.3M |
| ALNYALNYLAM PHARMACEUTICALS, INC. | 29,948 | $9.9M |
| JAZZJazz Pharmaceuticals plc | 40,016 | $7.6M |
| RPRXRoyalty Pharma plc | 130,656 | $6.3M |
| ROIVRoivant Sciences Ltd. | 202,316 | $5.6M |
| HALOHALOZYME THERAPEUTICS, INC. | 86,705 | $5.6M |
| PRTAPROTHENA CORP PUBLIC LTD CO | 563,082 | $5.5M |
| GMEDGlobus Medical Inc. | 62,932 | $5.4M |
| DGXQuest Diagnostics Incorporated | 26,842 | $5.3M |
| SRPTSarepta Therapeutics, Inc. | 219,723 | $4.8M |
| SNYSanofi | 98,755 | $4.8M |
| TAKTakeda Pharmaceutical Company Limited American Depositary Shares (each representing 1/2 of a share of Common Stock) | 234,988 | $4.4M |
| TEVATeva Pharmaceutical Industries Limited | 131,941 | $4.0M |
| INSMINSMED Inc | 22,072 | $3.6M |
| SUNSUNSET ISLAND GROUP | 51,790 | $3.4M |
| SHCSotera Health Company | 229,360 | $3.3M |
| GEHCGE HealthCare Technologies Inc. | 46,089 | $3.3M |
| QGENQIAGEN N.V. | 78,293 | $3.1M |
| WSTWest Pharmaceutical Services Inc. | 12,434 | $3.1M |
| RDYDR REDDYS LABORATORIES LTD | 221,274 | $3.1M |
| AXSMAxsome Therapeutics, Inc. | 16,814 | $2.8M |
| VTRSViatris Inc | 199,759 | $2.7M |
| ARGXARGENX SE | 3,618 | $2.6M |
| DVADaVita Inc. | 16,999 | $2.6M |
| CORCencora Inc. | 7,495 | $2.4M |
| RIOTRiot Platforms, Inc. | 142,617 | $1.8M |
| SNDXSyndax Pharmaceuticals Inc | 73,199 | $1.7M |
| IDXXIDEXX LABORATORIES INC /DE | 3,016 | $1.7M |
| GPCRStructure Therapeutics Inc. | 34,480 | $1.7M |
| ALMSALUMIS INC. | 73,123 | $1.6M |
| GMABGenmab A/S | 56,309 | $1.5M |
| BVSBioventus Inc. | 152,329 | $1.4M |
| RAREUltragenyx Pharmaceutical Inc. | 61,314 | $1.3M |
| ABVXAbivax SA | 11,006 | $1.2M |
| NEOGNEOGEN CORP | 123,875 | $1.2M |
| FMSFresenius Medical Care AG American Depositary Shares (Each representing 1/2 of an Ordinary Share) | 50,106 | $1.1M |
| DAWNDay One Biopharmaceuticals, Inc. | 52,342 | $1.1M |
| TGTXTG THERAPEUTICS, INC. | 33,102 | $1.1M |
| BCAXBicara Therapeutics Inc. | 55,037 | $1.1M |
| GRFSGrifols S.A. | 125,151 | $1.0M |
| CRLCHARLES RIVER LABORATORIES INTERNATIONAL, INC. | 5,776 | $996K |
| CGEMCullinan Therapeutics, Inc. | 62,718 | $891K |
| LQDALiquidia Corp | 22,791 | $860K |
| MLTXMoonLake Immunotherapeutics | 44,950 | $838K |
| BHVNBiohaven Ltd. | 95,376 | $807K |
| AUPHAurinia Pharmaceuticals Inc. | 54,435 | $807K |
| TWSTTwist Bioscience Corp | 16,971 | $806K |
| ALHCAlignment Healthcare Inc. | 45,307 | $798K |
| GHGuardant Health Inc. | 8,541 | $788K |
| KNSAKiniksa Pharmaceuticals International, plc | 16,318 | $786K |
| KURAKura Oncology, Inc. | 92,811 | $754K |
| PCVXVaxcyte, Inc. | 12,980 | $754K |
| SLSSELLAS Life Sciences Group, Inc. | 173,570 | $734K |
| IRWDIRONWOOD PHARMACEUTICALS INC | 207,779 | $729K |
| ACLXArcellx, Inc. | 6,280 | $721K |
| PTCTPTC THERAPEUTICS, INC. | 10,571 | $720K |
| HRMYHarmony Biosciences Holdings, Inc. | 25,115 | $703K |
| RCKTRocket Pharmaceuticals Inc. | 190,111 | $680K |
| NTLAIntellia Therapeutics, Inc. | 51,903 | $665K |
| DFTXDefinium Therapeutics Inc. | 34,851 | $659K |
| CRSPCRISPR Therapeutics AG | 13,491 | $642K |
| SRRKScholar Rock Holding Corp | 12,121 | $595K |
| PGNYProgyny Inc. | 34,120 | $579K |
| ARQTArcutis Biotherapeutics, Inc. | 23,774 | $560K |
| PVLAPALVELLA THERAPEUTICS, INC. | 4,420 | $551K |
| MNKDMANNKIND CORP | 211,476 | $518K |
| PRCTPROCEPT BioRobotics Corporation | 20,415 | $511K |
| ESPREsperion Therapeutics, Inc. | 173,793 | $476K |
| CAPRCAPRICOR THERAPEUTICS, INC. | 15,417 | $469K |
| RLYBRallybio Corp | 50,566 | $454K |
| ARDXARDELYX, INC. | 70,498 | $422K |
| NRIXNurix Therapeutics, Inc. | 26,238 | $407K |
| IOVAIOVANCE BIOTHERAPEUTICS, INC. | 114,292 | $401K |
| PRAXPraxis Precision Medicines, Inc. | 1,177 | $379K |
| DNAGinkgo Bioworks Holdings Inc. | 60,299 | $370K |
| EDITEditas Medicine, Inc. | 145,540 | $359K |
| INVAInnoviva, Inc. | 15,408 | $359K |
| RLAYRelay Therapeutics, Inc. | 36,096 | $358K |
| ZBHZimmer Biomet Holdings Inc. | 3,924 | $355K |
| ICLRICON plc | 3,176 | $351K |
| DNLIDenali Therapeutics Inc. | 18,131 | $348K |
| EBSEmergent BioSolutions Inc. | 41,095 | $341K |
| NGNENeurogene Inc. | 16,687 | $336K |
| CCCCC4 Therapeutics, Inc. | 127,517 | $334K |
| IBRXImmunityBio, Inc. | 43,374 | $333K |
| HLFHerbalife Ltd. | 22,170 | $326K |
| VIRVir Biotechnology, Inc. | 36,037 | $323K |
| TVTXTravere Therapeutics, Inc. | 10,847 | $322K |
| RGNXREGENXBIO Inc. | 37,999 | $318K |
| VCELVericel Corp | 9,705 | $312K |
| VERAVera Therapeutics, Inc. | 7,635 | $307K |
| ERASErasca, Inc. | 18,728 | $303K |
| ONCBeOne Medicines Ltd. | 1,001 | $297K |
| MDGLMADRIGAL PHARMACEUTICALS, INC. | 567 | $296K |
| ANNXAnnexon, Inc. | 53,242 | $295K |
| PTGXProtagonist Therapeutics, Inc | 2,775 | $292K |
| KRROKorro Bio, Inc. | 25,819 | $292K |
| DYNDyne Therapeutics, Inc. | 16,089 | $292K |
| AVNSAvanos Medical Inc. | 20,525 | $288K |
| GLUEMonte Rosa Therapeutics, Inc. | 17,117 | $282K |
| NUSNu Skin Enterprises Inc. | 38,371 | $279K |
| PRMEPrime Medicine, Inc. | 78,398 | $273K |
| KRYSKrystal Biotech, Inc. | 1,048 | $271K |
| ADMAADMA BIOLOGICS, INC. | 29,554 | $266K |
| ALLOAllogene Therapeutics, Inc. | 108,722 | $265K |
| BHCBausch Health Companies Inc. | 49,088 | $265K |
| BNTXBioNTech SE | 2,980 | $265K |
| ACADACADIA PHARMACEUTICALS INC | 11,518 | $257K |
| UPBUpstream Bio, Inc. | 27,314 | $246K |
| CORTCORCEPT THERAPEUTICS INC | 6,006 | $242K |
| NUVBNuvation Bio Inc. | 55,401 | $238K |
| MYGNMYRIAD GENETICS INC | 51,892 | $233K |
| NAGENiagen Bioscience, Inc. | 48,998 | $216K |
| ARVNARVINAS, INC. | 20,046 | $212K |
| SGMTSagimet Biosciences Inc. | 38,800 | $203K |
| SDGRSchrodinger, Inc. | 16,993 | $193K |
| ZLABZai Lab Ltd | 10,019 | $188K |
| NEONeoGenomics Inc. | 24,476 | $182K |
| AGLagilon health inc. | 23,716 | $179K |
| FULCFulcrum Therapeutics, Inc. | 23,260 | $178K |
| HCMHUTCHMED (China) Limited | 10,925 | $163K |
| TLRYTilray Brands, Inc. | 25,119 | $163K |
| AVXLANAVEX LIFE SCIENCES CORP. | 52,921 | $162K |
| ANIKAnika Therapeutics Inc. | 10,983 | $159K |
| ALDXAldeyra Therapeutics, Inc. | 91,870 | $155K |
| KROSKeros Therapeutics, Inc. | 13,826 | $153K |
| WVEWave Life Sciences Ltd. | 20,891 | $151K |
| ZURAZura Bio Ltd | 24,734 | $147K |
| RZLTRezolute, Inc. | 47,752 | $146K |
| LRMRLarimar Therapeutics, Inc. | 31,645 | $142K |
| DSGNDesign Therapeutics, Inc. | 13,066 | $139K |
| GOSSGossamer Bio, Inc. | 418,404 | $137K |
| XERSXeris Biopharma Holdings, Inc. | 23,081 | $134K |
| IMTXImmatics N.V. | 13,453 | $132K |
| VRCAVerrica Pharmaceuticals Inc. | 24,544 | $130K |
| CRBPCorbus Pharmaceuticals Holdings, Inc. | 12,806 | $120K |
| FATEFATE THERAPEUTICS INC | 98,295 | $118K |
| ABSIAbsci Corporation | 38,542 | $116K |
| SIGASIGA TECHNOLOGIES INC | 21,023 | $112K |
| MDXGMiMedx Group Inc | 28,342 | $112K |
| OCULOCULAR THERAPEUTIX, INC | 12,782 | $108K |
| OGIORGANIGRAM GLOBAL INC. | 71,978 | $96K |
| PBYIPUMA BIOTECHNOLOGY, INC. | 14,649 | $94K |
| CTMXCytomX Therapeutics, Inc. | 19,750 | $93K |
| SPRYARS Pharmaceuticals, Inc. | 11,236 | $90K |
| CINGCingulate Inc. | 12,930 | $80K |
| TLPHTALPHERA, INC. | 100,000 | $75K |
| NKTXNkarta, Inc. | 34,274 | $72K |
| GNLXGENELUX Corp | 27,866 | $67K |
| NGENNERVGEN PHARMA CORP. | 17,875 | $67K |
| HUMAHumacyte Inc. | 106,278 | $64K |
| ORGOOrganogenesis Holdings Inc. | 24,986 | $59K |
| GALTGALECTIN THERAPEUTICS INC | 19,812 | $55K |
| OCGNOcugen, Inc. | 29,716 | $54K |
| CATXPerspective Therapeutics, Inc. | 11,815 | $49K |
| HURATuHURA Biosciences, Inc./NV | 25,697 | $46K |
| CHRSCoherus Oncology, Inc. | 26,739 | $45K |
| OPKOPKO HEALTH, INC. | 39,346 | $45K |
| ALECAlector, Inc. | 18,799 | $40K |
| MISTMilestone Pharmaceuticals Inc. | 30,830 | $37K |
| NOTVInotiv, Inc. | 120,216 | $33K |
| PRQRProQR Therapeutics N.V. | 20,169 | $33K |
| ACHAccendra Health Inc. | 13,784 | $31K |
| MXCTMaxCyte Inc. | 43,613 | $31K |
| SKINThe Beauty Health Company | 31,987 | $28K |
| HRTXHERON THERAPEUTICS, INC. /DE/ | 35,353 | $28K |
| BTMDbiote Corp. | 20,646 | $28K |
| VERUVERU INC. | 11,381 | $25K |
| CGENCOMPUGEN LTD | 11,690 | $25K |
| LUCDLucid Diagnostics Inc. | 21,153 | $24K |
| CRDFCardiff Oncology, Inc. | 14,451 | $23K |
| INMBInmune Bio, Inc. | 19,043 | $22K |
| LCTXLineage Cell Therapeutics, Inc. | 12,514 | $20K |
| MIRAMIRA PHARMACEUTICALS, INC. | 16,500 | $18K |
| LXRXLEXICON PHARMACEUTICALS, INC. | 11,072 | $17K |
| TNYATenaya Therapeutics, Inc. | 22,000 | $15K |
| TLSATiziana Life Sciences Ltd | 10,000 | $12K |
| HYFTMindWalk Holdings Corp. | 10,000 | $11K |
| UPXIUPEXI, INC. | 10,005 | $10K |