| | 1,401 | 347 |  Ellyn Needel Anastasia Raftis | 30-34 | 01:51:49 | |
| | 1,402 | 348 | Lauren DePaz  Nimbe Juarez | 30-34 | 01:51:53 | |
| | 1,403 | 184 | Katie Patterson Erin Gutierrez | 40-44 | 01:52:00 | |
| | 1,404 | 349 | Haley Lohman-Bradford Brianna Rodriguez | 30-34 | 01:52:02 | |
| | 1,405 | 350 |  Devika Sanil Apoorva Bangera | 30-34 | 01:52:03 | |
| | 1,406 | 185 | Stacy Cerepa Claudia Bridgman | 40-44 | 01:52:03 | |
| | 1,407 | 91 | Tracy Nielsen Mary Haggerty | 45-49 | 01:52:12 | |
| | 1,408 | 92 | Diana Garcia Cynthia Gutierrez | 45-49 | 01:52:17 | |
| | 1,409 | 294 | Ashley Waltz Rochelle Rafael | 35-39 | 01:52:28 | |
| | 1,410 | 37 | Demetria Hudson-Burns Latoya Harrison | 50-54 | 01:52:29 | |
| | 1,411 | 295 | Dorsena Koonce Danielle Nyoka | 35-39 | 01:52:35 | |
| | 1,412 | 292 | Aubri Dancek Nicole McIntosh | 25-29 | 01:52:50 | |
| | 1,413 | 3 | Antoinette Wilson Julie McGrath | 60-64 | 01:52:50 | |
| | 1,414 | 296 | Amanda Gralewkski Carly Baranak | 35-39 | 01:52:52 | |
| | 1,415 | 293 | Anna Jonkman Gianna Hofstra | 25-29 | 01:53:01 | |
| | 1,416 | 186 | Ema Rossi  Jison Kim | 40-44 | 01:53:04 | |
| | 1,417 | 93 | Deborah Steinke Tanya Carter | 45-49 | 01:53:22 | |
| | 1,418 | 351 | Gianna Bostedt Olivia Goolsby | 30-34 | 01:53:30 | |
| | 1,419 | 352 | Nicole Liatos Hannah Carter | 30-34 | 01:53:31 | |
| | 1,420 | 353 | Liz Espiritu Jillian Snow | 30-34 | 01:53:34 | |
| | 1,421 | 150 | Mallory Grzegorzewski Mackenzie Grzegorzewski | 16-24 | 01:53:34 | |
| | 1,422 | 1 | Kathleen Wolz Judy DeVriendt | 70-74 | 01:53:39 | |
| | 1,423 | 354 | Julienne Nanay Imani Shelby | 30-34 | 01:53:40 | |
| | 1,424 | 187 | Holly Pajot Lindsey Pajot | 40-44 | 01:53:50 | |
| | 1,425 | 294 | Juliana Schadel Lindsay Stoehr | 25-29 | 01:53:50 | |
| | 1,426 | 295 | Blakely Riehl Emily Carnes | 25-29 | 01:53:59 | |
| | 1,427 | 296 | Autumn Campbell Jade Campbell | 25-29 | 01:54:00 | |
| | 1,428 | 355 | Emily Fields Jamila Sams | 30-34 | 01:54:06 | |
| | 1,429 | 151 | Ria Kessell Nina Kessell | 16-24 | 01:54:12 | |
| | 1,430 | 297 | Eliora Jares Abigail Acuna | 35-39 | 01:54:12 | |
| | 1,431 | 297 | Kenia isamara Hernandez Monica Penaloza | 25-29 | 01:54:21 | |
| | 1,432 | 356 | Ashley Montana Claudia Vargas | 30-34 | 01:54:23 | |
| | 1,433 | 357 | Magda Fried Gabrielle Fried | 30-34 | 01:54:27 | |
| | 1,434 | 152 | Lily Ernste Bella Clausen | 16-24 | 01:54:29 | |
| | 1,435 | 11 | Stacy Lankin Angela Diaz | 55-59 | 01:54:31 | |
| | 1,436 | 188 | Megan Stansil Erin Van Schyndle | 40-44 | 01:54:31 | |
| | 1,437 | 189 | Delaney Bailey Amy Jo Rector | 40-44 | 01:54:37 | |
| | 1,438 | 298 | Nakia Bush Arielle Sanders | 35-39 | 01:54:38 | |
| | 1,439 | 94 | Diana Penn Lisa Lappin | 45-49 | 01:54:39 | |
| | 1,440 | 38 | Abena Patton Laurin Toriello | 50-54 | 01:54:41 | |
| | 1,441 | 299 | Hieu Nguyen Thao Nguyen | 35-39 | 01:55:12 | |
| | 1,442 | 358 | Marlena Bochenek Isamar Corona | 30-34 | 01:55:20 | |
| | 1,443 | 95 | Samantha Mirabal Stacy Hinkel | 45-49 | 01:55:29 | |
| | 1,444 | 96 | Amy Doherty Jessica Bearse | 45-49 | 01:55:33 | |
| | 1,445 | 359 | Blakely Lewis Crisann Dharamsey | 30-34 | 01:55:38 | |
| | 1,446 | 190 | Michelle Torres Maria Gamez | 40-44 | 01:55:39 | |
| | 1,447 | 153 | Emily Shader Abby Murdock | 16-24 | 01:55:43 | |
| | 1,448 | 298 | Jessica Melendez Kayla Torres | 25-29 | 01:55:46 | |
| | 1,449 | 300 | Erin Walters Marie Fuchs | 35-39 | 01:56:17 | |
| | 1,450 | 360 | Abigail Silvers Layanna Woodward | 30-34 | 01:56:27 | |
| | 1,451 | 361 | Brittney Bland Whitney McCormick | 30-34 | 01:56:48 | |
| | 1,452 | 299 | Emily Rodriguez Jasmin Hernandez | 25-29 | 01:56:57 | |
| | 1,453 | 154 | Quinn Shane Kelsey Piesco | 16-24 | 01:57:04 | |
| | 1,454 | 300 | Maya Addai Devana Tooles | 25-29 | 01:57:10 | |
| | 1,455 | 191 | Amy Silva Amy Carney | 40-44 | 01:57:14 | |
| | 1,456 | 155 | Ashleigh McCarthy Megan Little | 16-24 | 01:57:20 | |
| | 1,457 | 39 | Marissa Baty Tonia Lambeth | 50-54 | 01:57:21 | |
| | 1,458 | 192 | Lyndsey Myers Erin Hopkins | 40-44 | 01:57:23 | |
| | 1,459 | 301 | Guadalupe Jimenez Monica Yuquilima | 25-29 | 01:57:27 | |
| | 1,460 | 302 | Grace Shapiro Kelsey Chadwick | 25-29 | 01:57:28 | |
| | 1,461 | 193 | Nicole Bourgeois Robin Bourgeois | 40-44 | 01:57:30 | |
| | 1,462 | 97 | Jodi Wickersheimer Cicely Fleming | 45-49 | 01:57:47 | |
| | 1,463 | 303 | Devanshi Nangia Isha Chavan | 25-29 | 01:58:01 | |
| | 1,464 | 194 | Erin Kasch Jill Riechert | 40-44 | 01:58:05 | |
| | 1,465 | 98 | Tonya VanderLaan Nicole Fleming | 45-49 | 01:58:08 | |
| | 1,466 | 362 | Brooke Morris Faith Santos | 30-34 | 01:58:10 | |
| | 1,467 | 363 | Sequoia Williams Katie Raftery | 30-34 | 01:58:22 | |
| | 1,468 | 99 | Amanda Ashmann Jessica Brooks | 45-49 | 01:58:40 | |
| | 1,469 | 364 |  Rylhia Oliveira Rafaela Santos | 30-34 | 01:58:47 | |
| | 1,470 | 40 | Sara Jenkins Julie Smith | 50-54 | 01:58:51 | |
| | 1,471 | 12 | Nicole Fernandez Gina Thomas | 55-59 | 01:58:57 | |
| | 1,472 | 365 |  Sarah Edmonson Emma Murgida | 30-34 | 01:59:13 | |
| | 1,473 | 100 | Natasha Crump Lynette Nevills | 45-49 | 01:59:14 | |
| | 1,474 | 195 | Sara Georgetti Courtney Govert | 40-44 | 01:59:15 | |
| | 1,475 | 196 | Jenean Coleman Ivy Ford | 40-44 | 01:59:16 | |
| | 1,476 | 304 | Jada Carter Hannah Burnes | 25-29 | 01:59:17 | |
| | 1,477 | 305 | Lauren Williams Elizabeth Christopher | 25-29 | 01:59:22 | |
| | 1,478 | 306 |  Wan Qian Siew Zhiyu Chong | 25-29 | 01:59:54 | |
| | 1,479 | 307 | Apoorva Gupta Mia Karlin-Cappello | 25-29 | 02:00:13 | |
| | 1,480 | 41 | Bianca Nash Michelle Smart | 50-54 | 02:00:48 | |
| | 1,481 | 366 | Camellia Sturtz Eugenia Boozer | 30-34 | 02:00:49 | |
| | 1,482 | 101 | Aracely Cardenas Veronica Gawlik | 45-49 | 02:01:12 | |
| | 1,483 | 102 | Gabriela Ortega Hilda Gallegos | 45-49 | 02:01:21 | |
| | 1,484 | 308 | Bruna Enos Amy Hoxha | 25-29 | 02:01:37 | |
| | 1,485 | 301 | Tova Goldberg  Martine Decase | 35-39 | 02:02:15 | |
| | 1,486 | 302 | Sacha Cardelle Polett Ruiz | 35-39 | 02:02:30 | |
| | 1,487 | 197 | Dipali Rinker Jodie Gee | 40-44 | 02:02:39 | |
| | 1,488 | 303 | Beth Jones Siobhan Cornell | 35-39 | 02:03:18 | |
| | 1,489 | 198 | CLAUDIA Young BERNADETTE LANDRY | 40-44 | 02:03:32 | |
| | 1,490 | 156 | marissa nugent julia effinger | 16-24 | 02:03:38 | |
| | 1,491 | 199 | Kenia Pasquesi Ana Laura Albores-Garcia | 40-44 | 02:03:49 | |
| | 1,492 | 157 | Arianna Hurtado Rachel Rusher | 16-24 | 02:03:53 | |
| | 1,493 | 200 | Bridget Kobiernicki Miryam Ramirez | 40-44 | 02:04:03 | |
| | 1,494 | 201 | Kortney Coleman Julia Flowers | 40-44 | 02:04:03 | |
| | 1,495 | 103 |  Erna Javier Jennifer Javier | 45-49 | 02:04:18 | |
| | 1,496 | 304 | Jennifer Walker Jorie Moore | 35-39 | 02:04:34 | |
| | 1,497 | 309 | Celeste Santangelo Mary Jones | 25-29 | 02:04:40 | |
| | 1,498 | 13 | Tawana Cosey Tanya D Woods | 55-59 | 02:05:15 | |
| | 1,499 | 158 | Victoria Luebcke Haley Wooldridge | 16-24 | 02:05:24 | |
| | 1,500 | 368 | Marybel Wilson Alejandra Lopez | 30-34 | 02:05:44 | |
