| 1 |  Hannah Freund Jessica Seaver | 25-29 | 03:53 | |
| 2 | LarkAnn Byrd Molly Miedema | 25-29 | 03:56 | |
| 2 | Monica Mazur Samantha Mazur | 30-34 | 03:56 | |
| 4 | Emmy Simpkins Sarah Murphy | 30-34 | 03:57 | |
| 5 | Anna Foley Katerina Poulopoulos | 25-29 | 03:58 | |
| 5 | Delaney Schoenenberger Monica Stephans | 25-29 | 03:58 | |
| 7 | Erica Haslag Liv Hackmann | 30-34 | 03:59 | |
| 7 | Jen Chick Kelly Parker | 35-39 | 03:59 | |
| 9 |  Aleksandra Sibinska CHRISTINA WATSON | 30-34 | 04:01 | |
| 9 | Caitlin Kahn Julia Macone | 16-24 | 04:01 | |
| 11 | Alissa Cook Jacqlene Hanks | 35-39 | 04:02 | |
| 11 | Alyssa Nunziata Jordan Messineo | 25-29 | 04:02 | |
| 11 | Courtney Murphy Jesa Culy | 35-39 | 04:02 | |
| 14 | Adina Polack Elaina Tiller | 25-29 | 04:03 | |
| 14 | hayden Thorstenson Katelyn Avery | 35-39 | 04:03 | |
| 14 | Abigail Viola Megan Hoopes | 25-29 | 04:03 | |
| 17 | Holly Butrico Kailee Di Vico | 25-29 | 04:04 | |
| 17 | Amy Johnson Sarrah Ludwig | 30-34 | 04:04 | |
| 19 | Lexi Lutheran Sara Pavel | 30-34 | 04:05 | |
| 20 | Araya Lessard Stephanie DeCarli | 25-29 | 04:06 | |
| 20 | Danielle Cumberbatch Kristen Mahoney | 35-39 | 04:06 | |
| 20 | Mary Cavanagh Sarah Jennings | 30-34 | 04:06 | |
| 23 | Cassandra Carroll Kelly Sullivan | 35-39 | 04:07 | |
| 23 | Mackinly Kifer Paige Mikula | 25-29 | 04:07 | |
| 23 | Isabella Delacruz Kaya Clark | 16-24 | 04:07 | |
| 23 | Kasey Bubel Liz Fitzgibbon | 30-34 | 04:07 | |
| 23 | Bernadette Gatto Lindsey Anderson | 45-49 | 04:07 | |
| 28 | Emily Breeze Watson Tara Kimbell | 40-44 | 04:08 | |
| 28 | Daria Daspin Gabriela Olivier | 30-34 | 04:08 | |
| 28 | Aubrey Walker Nicole Stoppelli | 30-34 | 04:08 | |
| 28 | Mary Pelkofer Rachael Pelkofer | 35-39 | 04:08 | |
| 28 |  Kate Popova Vika Dzyuba | 25-29 | 04:08 | |
| 33 | Brooke Siegler Ellie Woodfin | 30-34 | 04:09 | |
| 33 | Lindsey Edwards Theresa Gebert | 40-44 | 04:09 | |
| 33 | Helena Thompson Stephanie Krempa | 30-34 | 04:09 | |
| 33 | Rebekah Strong Ryan Alaina Bowling | 30-34 | 04:09 | |
| 33 | Christina Dennis Kelsey Stott | 35-39 | 04:09 | |
| 38 | Jessica Griffin Laura Griffin | 35-39 | 04:10 | |
| 38 | Lucy Barrett  Vanessa Udoji | 25-29 | 04:10 | |
| 38 | Ashley Meyer Traci Cornwell | 35-39 | 04:10 | |
| 38 | Courtney Pyeritz Jess Reed | 35-39 | 04:10 | |
| 38 | Caroline Garretson Tyra Wingle | 25-29 | 04:10 | |
| 43 | Alayna Tichenor Carmen Hansen | 25-29 | 04:11 | |
| 43 | Abigail McSally Madelin McSally | 16-24 | 04:11 | |
| 43 | Pina Campagna Samanth Aucone | 45-49 | 04:11 | |
| 46 | Gina Obrien Kimberly Marra | 30-34 | 04:12 | |
| 46 | Elena DePascale Joanna Frankenfield | 30-34 | 04:12 | |
| 46 | Gina Scanlon Jacqueline Abraham | 40-44 | 04:12 | |
| 46 | Angela Scarinci Madison Skeie | 35-39 | 04:12 | |
| 46 | Alexandra Hanson Samantha Mello | 25-29 | 04:12 | |
| 46 | Caroline Crump Jennifer Acker | 30-34 | 04:12 | |
| 52 | Colette Wheeler Emily Wheeler | 40-44 | 04:13 | |
| 52 | Jillian Matheson Tanner Reed | 25-29 | 04:13 | |
| 52 | Jessica Mealia Kasey Uhlenhuth | 30-34 | 04:13 | |
| 52 | Eva Krcmarik Jennifer Moran | 35-39 | 04:13 | |
| 52 | Brigette Enriquez  Mi Cho | 40-44 | 04:13 | |
| 52 | Amy Jose Sierra Tjelmeland | 30-34 | 04:13 | |
| 52 | Amanda Cunningham Julia LoRusso | 30-34 | 04:13 | |
| 52 | Katherine Potz Morgan Patterson | 25-29 | 04:13 | |
| 52 | Renee Schiefer Sarah Sauber | 25-29 | 04:13 | |
| 52 | Aniah Whitmire Leslie Landa | 25-29 | 04:13 | |
| 62 | Caroline Long Wynn Griffin | 35-39 | 04:14 | |
| 62 | Sarah Bozzo Sara Phelps | 16-24 | 04:14 | |
| 64 |  Colette Mofakham Holly Clark | 25-29 | 04:15 | |
| 64 | Kirstin Kelley Rachel LaRocca | 30-34 | 04:15 | |
| 66 | Chandler DeBerg Chelsea Gruber | 25-29 | 04:16 | |
| 66 |  Ambah Simpson  Melanie Fitzgerald | 30-34 | 04:16 | |
| 66 | Jillian Assad Lori Assad | 45-49 | 04:16 | |
| 66 | Alexandra Ferri Michaela Ferri | 30-34 | 04:16 | |
| 70 |  Anya Baugh Safia Sexton | 30-34 | 04:17 | |
| 70 | Emily Puder Hannah Puder | 30-34 | 04:17 | |
| 72 | Melissa Iskandar Nikki Trifunovic | 30-34 | 04:18 | |
| 72 | Heidi Stenzel Kayla Michnoff | 35-39 | 04:18 | |
| 72 | Gianna Porcasi Maria Porcasi | 16-24 | 04:18 | |
| 72 | Casey Cameron Molly Murphy | 40-44 | 04:18 | |
| 72 | Isabel Colhoun Valeria Vazquez | 16-24 | 04:18 | |
| 72 | Jenna Iannielli Michelle Kalinski | 35-39 | 04:18 | |
| 72 | Tara Melanson Trisha Caton | 40-44 | 04:18 | |
| 72 | Jessica Lister LaNae McIlree | 45-49 | 04:18 | |
| 72 | Kristen Pomajzl Lauren Pagnini | 40-44 | 04:18 | |
| 81 | Emilia Rogowski Morgan Paul | 25-29 | 04:19 | |
| 81 | Emily Angell Gabriele Welp | 30-34 | 04:19 | |
| 81 |  April Kong Jordan Doyle | 30-34 | 04:19 | |
| 81 | Felicia Ahlers  Karina Santos | 25-29 | 04:19 | |
| 81 | Halden Dimogerodakis Ruth Henriquez | 35-39 | 04:19 | |
| 81 | Kathy Blakeley Victoria Polera | 35-39 | 04:19 | |
| 81 |  Xiaoxi Yuan Xiya Chen | 25-29 | 04:19 | |
| 81 | Jeannie Maestre Rachel Madwed | 30-34 | 04:19 | |
| 89 | Kit Arrix Maggie Moffatt | 16-24 | 04:20 | |
| 89 | Ashleigh Ghaffari Stephanie Bush | 35-39 | 04:20 | |
| 89 | Brianne Dubé  Sara Kabir | 30-34 | 04:20 | |
| 92 | Bianca Toledo Gabriela Toledo | 25-29 | 04:21 | |
| 92 |  Gentiane Le Grand Louise Fermon | 25-29 | 04:21 | |
| 92 |  Carolina Pelaez Kristina Schrepf | 30-34 | 04:21 | |
| 92 | Abigail Giannobile Maggie Gravano | 16-24 | 04:21 | |
| 92 | Bethany MacAlmon Hannah Ray | 30-34 | 04:21 | |
| 92 | Michelle Buontempo Veronica Diaz | 35-39 | 04:21 | |
| 92 | Alexis Garcia Bella Bruno | 16-24 | 04:21 | |
| 99 | Ally Connors Grace Faulkner | 16-24 | 04:22 | |
| 99 | Allison Dillon Nadine Donnelly | 35-39 | 04:22 | |
