XLV options flow
From the October 21, 2026 session tape · published after the close
XLV options traded $2.7M in premium across 112 prints on October 21, 2026: 80% in calls and 20% in puts, with 0% in contracts expiring that day. That was 166% of its average session over the prior 19.
XLV largest options trades, October 21, 2026
| Time | Contract | Size | Price | Premium |
|---|---|---|---|---|
| 11:11 | 135C Oct 30 | 78 | $43.71 | $341K |
| 11:11 | 140C Oct 30 | 78 | $38.73 | $302K |
| 13:53 | 177.5P Oct 23 | 2,504 | $0.81 | $203K |
| 15:13 | 157.5C Oct 23 | 40 | $21.02 | $84K |
| 12:44 | 156C Oct 23 | 32 | $22.42 | $72K |
| 15:13 | 157C Oct 23 | 30 | $21.45 | $64K |
| 11:52 | 162.5C Oct 23 | 36 | $16.01 | $58K |
| 11:52 | 159C Oct 23 | 27 | $19.53 | $53K |
| 11:23 | 159C Oct 23 | 26 | $19.58 | $51K |
| 12:06 | 162C Oct 23 | 30 | $16.44 | $49K |
| 13:39 | 165C Jan 15 | 30 | $16.10 | $48K |
| 11:52 | 160C Oct 23 | 26 | $18.54 | $48K |
| 12:06 | 162.5C Oct 23 | 30 | $16.01 | $48K |
| 11:11 | 175P Jan 15 | 104 | $4.36 | $45K |
| 13:53 | 180C Oct 23 | 752 | $0.57 | $43K |
The largest single XLV print was a 135 call expiring Oct 30 for $341K at 11:11 ET.
The busiest strikes by premium were 135 calls ($341K), 177.5 puts ($304K), 140 calls ($302K), 180 calls ($284K).
Last 20 sessions of XLV premium, calls vs puts: Oct 15 $3.6M (88% calls) · Oct 16 $2.1M (94% calls) · Oct 19 $1.3M (45% calls) · Oct 20 $3.5M (91% calls) · Oct 21 $2.7M (80% calls).
A large print is a trade, not a verdict: it can be a hedge, a close, or one leg of a spread. Read it next to where dealers are positioned, on the other XLV pages.
These are the October 20, 2026 closing numbers. Members see XLV's map move live all session.
Common questions
$2.7M in premium across 112 prints, 80% calls. The largest print was a 135 call for $341K.
80% of premium was in calls. Premium alone does not show direction: buyers and sellers, hedges and spreads all print the same way.
No. This page shows the last completed session, published after the close. Members see the flow as it prints.
Compare: options flow on other tickers
Measured from the closing options book and rebuilt after every close. Nothing on this page is live. Levels are where dealer hedging is concentrated, not targets or forecasts. Not investment advice.