| Final Ranking | Swimmers | time | L |
| 1. |  United States | Olivia Smoliga 59.57s
Katie Meili 1:04.93
Kelsi Worrell 56.47s
Abbey Weitzeil 53.70s | 3:54.67 | 5 | 2 |
| 2. |  Canada | Kylie Masse 58.66s Nr
Rachel Nicol 1:06.97
Noemie Thomas 57.66s
Taylor Ruck 53.51s | 3:56.80 NR | 3 | 1 |
| 3. |  Denmark | Mie Nielsen 59.48s
Rikke Møller Pedersen 1:06.88
Jeanette Ottesen 57.38s
Pernille Blume 53.24s | 3:56.98 | 5 | 1 |
| 4. |  Russia | Anastasia Fesikova 1:00.16s
Yulia Efimova 1:05.78
Svetlana Chimrova 57.65s
Veronika Popova 53.85s | 3:57.44 | 2 | 1 |
| 5. |  Australia | Madison Wilson 59.38s
Taylor McKeown 1:07.48
Madeline Groves 57.87s
Brittany Elmslie 53.07s | 3:57.80 | 3 | 2 |
| 6. |  China | Fu Yuanhui 59.20s
Zhang Xinyu 1:07.86
Lu Ying 57.45s
Shen Duo 53.72s | 3:58.23 | 4 | 2 |
| 7. |  Italy | Carlotta Zofkova 1:01.42
Arianna Castiglioni 1:06.33
Ilaria Bianchi 57.76s
Federica Pellegrini 53.58s | 3:59.09 | 2 | 2 |
| 8. |  Great Britain | Georgia Davies 59.35s
Chloe Tutton 1:07.25
Siobhan-Marie O’Connor 57.61s
Georgia Coates 55.13s | 3:59.34 | 6 | 2 |
| eliminated |
| 9. |  Sweden | Michelle Coleman 1:01.13
Jennie Johansson 1:06.62
Sarah Sjöström 56.70s
Louise Hansson 55.00s | 3:59.45 | 4 | 1 |
| 10. |  Japan | Natsumi Sakai 1:01.57
Satomi Suzuki 1:07.40
Rikako Ikee 56.73s
Miki Uchida 54.12s | 3:59.82 | 6 | 1 |
| 11. |  Finland | Mimosa Jallow 1:01.03s
Jenna Laukkanen 1:06.49
Emilia Pikkarainen 59.02s
Hanna-Maria Seppälä 55.07s | 4:01.61 | 7 | 1 |
| 12. |  Germany | Jenny Mensing 1:01.27
Vanessa Grimberg 1:07.99
Alexandra Wenk 58.55s
Annika Bruhn 54.38s | 4:02.19 | 7 | 2 |
| 13. |  Brazil | Natalia de Luccas 1:01.93
Jhennifer da Conceição 1:08.23
Daynara de Paula 58.18s
Larissa Oliveira 54.49s | 4:02.83 | 1 | 1 |
| 14. |  Hong Kong | Stephanie Au 1:01.55
Yvette Kong 1:08.39
Sze Hang Yu 59.54s
Camille Cheng 54.37s | 4:03.85 | 8 | 1 |
| -. |  France | Gastaldello Béryl 1:00.60
Fanny Deberghes 1:08.83
Marie Wattel
Charlotte Bonnet | DSQ | 1 | 2 |
| -. |  Czechia | Simona Baumrtová 1:01.27
Martina Moravčíková
Lucie Svěcená
Barbora Seemanová | DSQ | 8 | 2 |
China
United States
Sweden
Australia
Denmark
Canada
Italy
Russia
Germany
France
Great Britain
Japan
Finland
Brazil
Czechia
Hong Kong
