| 1 | Quadrifoglio Sporting Center ASD | Mocerino Antonia Francesca, Velleca Alessandra, Acampora Silvia, Allegro Mia | 02'34''00 | |  |  | |
50m 1:15.70 (1:15.70) 100m 3:49.70 (2:34.00) [3:49.70] 150m 2:34.00 (-15.-70) |
| 2 | Olimpia Sport Village SSD | Sellitto Anna, Amendola Carmen Maria, Amendola Adelaide Maria, Strocchia Martina | 02'35''20 | | | | |
50m 1:21.00 (1:21.00) 100m 3:56.20 (2:35.20) [3:56.20] 150m 2:35.20 (-21.00) |
| 3 | Dream Team Salerno | Florio Isabel, Di Marco Gaia, Gravino Marina, D'Aniello Alessia | 02'36''80 | | | | |
50m 1:17.10 (1:17.10) 100m 3:53.90 (2:36.80) [3:53.90] 150m 2:36.80 (-17.-10) |
| 4 | Vanessa Nuoto Smile ASD | Izzo Rebecca, De Tata Emilia, Coppolaro Arianna, Piccolo Maria Sofia | 02'38''60 | | | | |
50m 1:21.10 (1:21.10) 100m 3:59.70 (2:38.60) [3:59.70] 150m 2:38.60 (-21.-10) |
| 5 | Olimpic Nuoto Napoli | Bonavita Giorgia, Chianese Ludovica, Touil Sabrina, Cerasuolo Giada | 02'40''70 | | | | |
50m 1:18.70 (1:18.70) 100m 3:59.40 (2:40.70) [3:59.40] 150m 2:40.70 (-18.-70) |
| 6 | Rhyfel SSD | Montone Rosa, Ponticelli Dalila Francesca, Vallefuoco Benedetta, Imbimbo Sara | 02'42''10 | | | | |
50m 1:20.50 (1:20.50) 100m 4:02.60 (2:42.10) [4:02.60] 150m 2:42.10 (-20.-50) |
| 7 | Circolo Nautico Posillipo | Aruta Lorenza, Limone Angela, Macri' Marzia, Falco Diamante | 02'48''20 | | | | |
50m 1:25.90 (1:25.90) 100m 4:14.10 (2:48.20) [4:14.10] 150m 2:48.20 (-25.-90) |
| 8 | Caravaggio Sport Village Aqua Fitness SSD | Di Costanzo Ginevra, Riccio Giorgia, Pagnozzi Greta, Borrelli Martina | 02'49''50 | | | | |
50m 1:24.90 (1:24.90) 100m 4:14.40 (2:49.50) [4:14.40] 150m 2:49.50 (-24.-90) |
| 9 | Caravaggio Sport Village Aqua Fitness SSD | De Falco Martina, Pasquali Desiree, Sogaro Aurora, Capriati Giorgia | 02'54''50 | | | | |
50m 1:29.20 (1:29.20) 100m 4:23.70 (2:54.50) [4:23.70] 150m 2:54.50 (-29.-20) |
| 10 | Ecumano Space Pool & Fitness SSD | Russo Greta, Finamore Raffaela, Ingargiola Carolina, Vuosi Francesca | 03'00''60 | | | | |
50m 1:31.30 (1:31.30) 100m 4:31.90 (3:00.60) [4:31.90] 150m 3:00.60 (-31.-30) |
