| 🥇 | 🥇 | 🇺🇸Ashley Huhn, 🇬🇧Katie Knight | | 1:14:56 |
| 🥈 | 🥈 | 🇺🇸Lauren Rantala, 🇺🇸Kara Mobly | | +3:031:17:59 |
| 🥉 | 🥉 | 🇺🇸Heather Hudson, 🇺🇸Bryleigh Hansen | | +6:241:24:23 |
| #4 | #4 | 🇺🇸Jessica Bloom, 🇺🇸Lisa Hayes | | +1:001:25:23 |
| #6 | #5 | 🇬🇧Lauren Sinclair, 🇺🇸Mikayla Short | | +9:461:35:09 |
| #7 | #6 | 🇺🇸Nancy Delavega, 🇲🇽Lizet Rendon | | +0:351:35:44 |
| #8 | #7 | 🇺🇸Sara Carlesimo, 🇺🇸Nicole Salge | | +0:541:36:38 |
| #9 | #8 | 🇺🇸Jessica Almodovar, 🇺🇸Sara Sullivan | | +2:521:39:30 |
| #10 | #9 | 🇺🇸Priscilla Rojas, 🇺🇸Lixii Sun | | +1:301:41:00 |
| #14 | #10 | 🇵🇷Mariela Fuentes, 🇺🇸Milena Milani | | +8:161:49:16 |
| #16 | #11 | 🇺🇸Carla Duenas, 🇺🇸Cristina Arribas | | +11:182:00:34 |
| #17 | #12 | 🇺🇸Adriana Duque, 🇺🇸Kirsten Gladstone | | +4:302:05:04 |