| 1. | 2. | 1. | Roanoke | Livingstone | Concord | Savannah Gheen, Grace Rios, Lily Lippert, Hannah Koepfinger | Savannah Gheen, Grace Rios, Lily Lippert, Hannah Koepfinger | Autumn Thomas, Kiersten Shrader, Heather Chernutan, Taylor Hamm | 56:04:30.305 | 3:04:30.62 | 4:35.1659 |
| 2. | 2. | 1. | Livingstone | Roanoke | Concord | Jaela Norman, Shakeynah Mays, Shania Darrell, Gabrielle Glasco | Mary Hyde, Gracie Schumacher, Tori Johnson, Kinslee Clevenger | Autumn Thomas, Kiersten Shrader, Heather Chernutan, Taylor Hamm | 3:04:30.62 | 4:35.1659 | 3:04:30.62 |
| 3. | 3. | 1. | Concord | Berry | Roanoke | Autumn Thomas, Kiersten Shrader, Heather Chernutan, Taylor Hamm | Mary Hyde, Gracie Schumacher, Tori Johnson, Kinslee Clevenger | Jaela Norman, Shakeynah Mays, Shania Darrell, Gabrielle Glasco | 4:35.1659 | 3:04:30.62 | 4:35.1659 |
| 4. | 2. | 1. | Mary Baldwin University | Mary Baldwin University | Concord | Alice Wardy, Morgan Holmes, Quinland Musgrove, Jaquelin Rosas | Mary Hyde, Gracie Schumacher, Tori Johnson, Kinslee Clevenger | Alice Wardy, Morgan Holmes, Quinland Musgrove, Jaquelin Rosas | 55:04:47.696 | 4:35.1659 | 3:04:30.62 |
| | 1. | 2. | Berry | Roanoke | Roanoke | Mary Hyde, Gracie Schumacher, Tori Johnson, Kinslee Clevenger | Savannah Gheen, Grace Rios, Lily Lippert, Hannah Koepfinger | Jaela Norman, Shakeynah Mays, Shania Darrell, Gabrielle Glasco | DNS | 4:35.1659 | 56:04:30.305 |
