| 1 |  Carley Greenawalt Rachel Legacy | 30-39 | 03:49 | |
| 2 | Amanda Dailey Christine O'Connor | 30-39 | 04:05 | |
| 3 | Elodie Shevins Hannah Swain | 16-29 | 04:07 | |
| 4 | Hailey Porter Vaenssa Garcia | 16-29 | 04:08 | |
| 4 | Chong Xu Lex Letellier | 16-29 | 04:08 | |
| 6 | Abigail Miller Lauryn Bodden | 16-29 | 04:12 | |
| 7 | Elizabeth Apicella Emily Makynen | 30-39 | 04:13 | |
| 8 | Jessica Cheung Stephanie Sun | 30-39 | 04:14 | |
| 9 | Jillian Wintle Renee Panter | 16-29 | 04:18 | |
| 10 | Julie Longnecker Meagan Mielczarek | 30-39 | 04:20 | |
| 11 | Aviry Carroll Teresa Gleason | 30-39 | 04:21 | |
| 11 | Cherynne Montanero Lucy Meyer | 16-29 | 04:21 | |
| 13 | Mary Anne Kavjian Sydney Gray | 16-29 | 04:22 | |
| 14 | Antoinette Guidice Christina Camassa | 30-39 | 04:23 | |
| 15 | Afiya Letford Jasmin Monserrate | 16-29 | 04:24 | |
| 16 | Xiao Cui Xiaotian Ding | 30-39 | 04:29 | |
| 16 | Monica Wu Salina Sabri | 30-39 | 04:29 | |
| 18 | Casey Mathieu Nahantara Gonzalez | 40-49 | 04:30 | |
| 19 | Kerri Whelan Melissa Whelan | 16-29 | 04:32 | |
| 19 | Eileen Hickey Valerie Tangney | 40-49 | 04:32 | |
| 19 | Merren Flynn Sinead Lucey | 16-29 | 04:32 | |
| 19 | Carson Cunningham Danielle Evangelista | 30-39 | 04:32 | |
| 23 | Ashlyn Belding Lalah Sencar | 30-39 | 04:33 | |
| 23 | Maryia Zhurko Valeryia Dziamidchyk | 16-29 | 04:33 | |
| 25 | Christine Biskup Jennifer Langerfeld | 30-39 | 04:36 | |
| 26 | Deidra Mellis Lori Pirrone | 40-49 | 04:37 | |
| 26 | Aalaa Mohammed Shymaa Mohammed | 16-29 | 04:37 | |
| 28 | Alex Peña Rachel Plevinsky | 16-29 | 04:38 | |
| 28 | Gabrielle Shatenfeld Jennifer Brinton | 30-39 | 04:38 | |
| 30 | Angela Morales Kim Pappas | 30-39 | 04:39 | |
| 31 | Lindsay Olsen Samantha Strumeier | 30-39 | 04:42 | |
| 32 | Melissa Sosa Natalie Bogan | 30-39 | 04:45 | |
| 33 | Amanda Ehrlickman Karli Schott | 16-29 | 04:46 | |
| 34 | Michelle Cheng Sonja Lilljeberg | 40-49 | 04:47 | |
| 34 | Priscilla Oh Stephanie Becerra | 30-39 | 04:47 | |
| 36 | Carolyn Mistretta Cassandra Mcleod | 16-29 | 04:50 | |
| 37 | Emily Angell Freya Dittrich | 40-49 | 04:51 | |
| 37 | Christina Maldonado Jasmine Nunez | 30-39 | 04:51 | |
| 39 | Hope Platel Michelle Fiorletti Phillips | 40-49 | 04:54 | |
| 40 | Madison Houston Sarrah Bottari | 16-29 | 04:56 | |
| 41 | Cassie Daniels Yana Rozenfeld | 30-39 | 04:57 | |
| 42 | Brook Delucca Patty Uykan | 30-39 | 05:03 | |
| 43 | Ivana Dall Agnol Juliana Ribeiro | 40-49 | 05:04 | |
| 44 | Cara Jacofsky Jamie Morgan | 40-49 | 05:05 | |
| 45 | Bruni Moraza Cindy Gonzalez | 16-29 | 05:06 | |
| 46 | Catalina Ruiz Patricia Baile | 40-49 | 05:09 | |
| 46 | Lorey’A Cullum Siobhan Dieudonne | 30-39 | 05:09 | |
| 48 | Fionnuala Bell Tricia Maloy | 40-49 | 05:10 | |
| 49 | Jennifer De Leonardis Karen Corbett | 50-59 | 05:20 | |
| 50 | Katherine Ingargiola Nadja Bietncourt | 40-49 | 05:23 | |
| 51 | Christina Boccio Marianna Bruno | 30-39 | 05:27 | |
| 52 | Amanda Woodson Debby Garriques | 30-39 | 05:30 | |
| 53 | Lisa Sanzo Patty Abramson | 50-59 | 05:34 | |
| 54 | Autumn Kovach Emily Waldman | 30-39 | 05:44 | |
| 55 | Ashley Pendlebury Rebecca Ray | 40-49 | 05:52 | |
