| 1 | POL Uczniowski Klub Sportowy Orion | Blazevska Eminova Mia, Tanurovska Neda, Kitanovik Iva, Jovanovic Jovana Vasilisa | 02'14''66 | 439 |  |  | |
50m 29.60 (29.60) 100m 1:12.78 (43.18) [1:12.78] 150m 1:43.55 (30.77) 200m 2:14.66 (31.11) [1:01.88] |
| 2 | MKD S.C. Skopje | Mladenovik Bjanka, Zabokova Ana, Zungulova Bela, Nedelkoska Jovana | 02'20''75 | 384 | | | |
50m 35.86 (35.86) 100m 1:15.23 (39.37) [1:15.23] 150m 1:50.33 (35.10) 200m 2:20.75 (30.42) [1:05.52] |
| 3 | MKD S.C. Skopje | Tanaskoska Katja, Jankovikj Sara, Karalieva Anja, Sekerinova Mina | 02'24''92 | 352 | | | |
50m 32.12 (32.12) 100m 1:08.40 (36.28) [1:08.40] 150m 1:43.81 (35.41) 200m 2:24.92 (41.11) [1:16.52] |
| 4 | MKD Plivacki Klub Beta Shark Skopje | Jordanovska Kalina, Markovikj Jovana, Velichkovska Leona, Kuzmanovska Kalina | 02'32''35 | 303 | | | |
50m 40.49 (40.49) 100m 1:27.34 (46.85) [1:27.34] 150m 2:00.53 (33.19) 200m 2:32.35 (31.82) [1:05.01] |
| 5 | MKD Plivacki Klub Mladost Skopje | Trifunovska Tamara, Jordanovska Neda, Milenkovska Neda, Trajanovska Monika | 02'49''14 | 221 | | | |
50m 40.95 (40.95) 100m 1:26.98 (46.03) [1:26.98] 150m 2:08.53 (41.55) 200m 2:49.14 (40.61) [1:22.16] |
| 6 | MKD Plivacki Klub Beta Shark Skopje | Anastavsovska Sara, Nestorovska Isidora, Dzugomanova Angelina, Siljanovska Milica | 02'56''29 | 195 | | | |
50m 42.50 (42.50) 100m 1:33.15 (50.65) [1:33.15] 150m 2:21.56 (48.41) 200m 2:56.29 (34.73) [1:23.14] |
| 7 | MKD Swimming And Waterpolo Klub Vardar 8 Skopje | Mamucevska Tea, Dimitrovska Kalina, Velkovska Jana, Stavreska Georgina | 03'02''30 | 177 |
| 8 | POL Uczniowski Klub Sportowy Orion | Stojanovska Teodora, Karajovanova Nina, Velevska Sofija, Stefanovska Andrea | 03'08''33 | 160 | | | |
50m 42.51 (42.51) 100m 1:29.08 (46.57) [1:29.08] 150m 2:14.36 (45.28) 200m 3:08.33 (53.97) [1:39.25] |
| 9 | MKD Swimming Club Neptun Skopje | Nikolovska Magdalena, Nikolovska Elena, Stefanovska Neda, Strojmanovska Marija | 03'32''64 | 111 | | | |
50m 51.15 (51.15) 100m 1:39.62 (48.47) [1:39.62] 150m 2:30.96 (51.34) 200m 3:32.64 (1:01.68) [1:53.02] |
| 10 | MKD Plivacki Klub Beta Shark Skopje | Paneva Nadja, Peterson Nita, Martinovska Ema, Paneva Darja | 03'35''07 | 107 | | | |
50m 50.06 (50.06) 100m 1:55.00 (1:04.94) [1:55.00] 150m 2:52.96 (57.96) 200m 3:35.07 (42.11) [1:40.07] |
| 11 | MKD Plivacki Klub Mladost Skopje | Trifunovska Irina, Nacevska Angja, Ristova Anastasija, Kolchoska Teodora | 03'40''40 | 100 | | | |
50m 1:00.78 (1:00.78) 100m 2:01.44 (1:00.66) [2:01.44] 150m 2:57.13 (55.69) 200m 3:40.40 (43.27) [1:38.96] |
