| 1 |  Ashleigh Moolman Pasio (RSA) | AG Insurance - Soudal Quick-Step | 2:48:22 |
| 2 |  Ane Santesteban González (SPA) | Groupama - Fdj | 0:02 |
| 3 |  Claire Steels (GBR) | Team Jayco Alula | s.t. |
| 4 |  Alessia Vigilia (ITA) | | 0:11 |
| 5 |  Justine Ghekiere (BEL) | AG Insurance - Soudal Quick-Step | s.t. |
| 6 |  Katrine Aalerud (NOR) | Movistar Team | s.t. |
| 7 | Lotte Claes (BEL) | | s.t. |
| 8 |  Mareille Meijering (NED) | | 0:16 |
| 9 |  Urska Zigart (SLO) | Groupama - Fdj | s.t. |
| 10 | Natalie Grinczer (GBR) | | s.t. |
| 11 |  Yuliia Biriukova (UKR) | | 0:46 |
| 12 | Alice Maria Arzuffi (ITA) | Ceratizit - Wnt | s.t. |
| 13 |  Anna Kiesenhofer (AUT) | Team Jayco Alula | 0:49 |
| 14 |  Ella Wyllie (NZL) | | 1:00 |
| 15 |  Tamara Dronova-Balabolina (RUS) | Team Jayco Alula | 1:09 |
| 16 | Ursa Pintar (SLO) | Btc - City Ljubljana - Scott | 1:40 |
| 17 |  Alexandra Manly (AUS) | Groupama - Fdj | s.t. |
| 18 | Carlotta Cipressi (ITA) | | s.t. |
| 19 | Elizabeth Stannard (AUS) | | s.t. |
| 20 | Mireia Benito Pellicer (SPA) | AG Insurance - Soudal Quick-Step | s.t. |
| 21 |  Adele Normand (CAN) | Massi - Tactic | 1:51 |
| 22 |  Karolina Perekitko (POL) | | s.t. |
| 23 |  Emma Cecilie Norsgaard Jørgensen (DEN) | | 2:22 |
| 24 | Silvia Zanardi (ITA) | Be Pink | s.t. |
| 25 | Nadia Quagliotto (ITA) | Laboral Kutxa - Fundación Euskadi | 2:25 |
| 26 |  Ana Vitória Gouvea Vieira Almeida Magalhães (BRA) | Bizkaia - Durango | s.t. |
| 27 | Ingvild Gåskjenn (NOR) | Groupama - Fdj | s.t. |
| 28 | Federica Damiana Piergiovanni (ITA) | | s.t. |
| 29 | Cristina Tonetti (ITA) | | 2:49 |
| 30 |  Leonie Laubig (GER) | | 2:58 |
| 31 |  Andrea Ramírez Fregoso (MEX) | Bizkaia - Durango | s.t. |
| 32 |  Linda Zanetti (SWI) | | s.t. |
| 33 |  Karin Söderqvist (SWE) | | 3:06 |
| 34 |  Jelena Eric (SCG) | Movistar Team | 3:42 |
| 35 | Gaia Masetti (ITA) | AG Insurance - Soudal Quick-Step | 3:46 |
| 36 | Ariana Gilabert Vilaplana (SPA) | Laboral Kutxa - Fundación Euskadi | s.t. |
| 37 |  Miryan Maritza Nuñez Padilla (ECU) | Massi - Tactic | 3:51 |
| 38 |  Agua Marina Espínola Salinas (PAR) | | 3:56 |
| 39 | Maria Novolodskaya (RUS) | | 5:05 |
| 40 |  Manon Souyris (FRA) | | s.t. |
| 41 | Laura Asencio (FRA) | | s.t. |
| 42 | Debora Silvestri (ITA) | | s.t. |
| 43 |  Allison Mrugal (USA) | Sopela Women's Team | s.t. |
| 44 | Giorgia Vettorello (ITA) | Be Pink | s.t. |
| 45 |  Rotem Gafinovitz (ISR) | | s.t. |
| 46 | Tjasa Susnik (SLO) | Btc - City Ljubljana - Scott | 5:14 |
| 47 | Ariadna Gutierrez Arzaluz (MEX) | Farto-Btc Women's Cycling Team | 5:17 |
| 48 | Sophia Zwaan (NED) | | 5:23 |
| 49 |  Nora Jencusova (SVK) | Be Pink | 5:48 |
| 50 | Sandra Alonso Domínguez (SPA) | Ceratizit - Wnt | s.t. |
| 51 | Patricia Ortega Ruiz (SPA) | Massi - Tactic | s.t. |
| 52 | Iris Monticolo (ITA) | | s.t. |
| 53 | Chiara Reghini (ITA) | | 6:02 |
| 54 | Frances Janse Van Rensburg (RSA) | | s.t. |
| 55 | Babette Van Der Wolf (NED) | | s.t. |
| 56 | Coline Raby (FRA) | | 6:18 |
| 57 | Irene Mendez Melgarejo (SPA) | Bizkaia - Durango | 6:38 |
| 58 | Alicia González Blanco (SPA) | Movistar Team | s.t. |
| 59 | Idoia Eraso Lasa (SPA) | Laboral Kutxa - Fundación Euskadi | 8:02 |
| 60 |  Lija Laizane (LAT) | Laboral Kutxa - Fundación Euskadi | s.t. |
| 61 | Alice Palazzi (ITA) | | s.t. |
| 62 | Andrea Perez Figueroa (SPA) | Cantabria Deporte - Rio Miera | s.t. |
| 63 |  Karina Florez (COL) | | 8:43 |
| 64 | Liseth Carrero Vasquez (COL) | | s.t. |
| 65 | Alizée Rigaux (FRA) | | 9:27 |
| 66 | Agata Flis (POL) | Farto-Btc Women's Cycling Team | s.t. |
| 67 | Gloria Rodríguez Sanchez (SPA) | Movistar Team | 9:40 |
| 68 | Sandra Gutierrez Conde (SPA) | Bizkaia - Durango | s.t. |
| 69 | Elizabeth Castaño Quintero (COL) | | s.t. |
| 70 |  Nina Berton (LUX) | Ceratizit - Wnt | s.t. |
| 71 | Jessica Allen (AUS) | Groupama - Fdj | s.t. |
| 72 | Alice McWilliam (GBR) | | 9:49 |
| 73 | April Tacey (GBR) | | 10:25 |
| 74 | Emma Redaelli (ITA) | | 10:35 |
| 75 | Valentina Basilico (ITA) | Be Pink | s.t. |
| 76 |  Agustina Reyes Perdomo (URU) | | s.t. |
| 77 | Olatz Marquet (SPA) | | s.t. |
| 78 |  Lotta Henttala Lepistö (FIN) | AG Insurance - Soudal Quick-Step | 12:59 |
| DNF | Maitane Arana Quintanilla (SPA) | Sopela Women's Team | - |
| DNF | Adar Shriki (ISR) | Israel Premier Tech Roland | - |
| DNF | Adriana Payà (SPA) | | - |
| DNF | Hana Zumer (SLO) | Btc - City Ljubljana - Scott | - |
| DNF | Naroa Olano Gonzalez (SPA) | | - |
| DNF | Vanesa Martinez Gallego (COL) | | - |
| DNF | Marta Perez Beti (SPA) | | - |
| DNF | Maria del Pilar Jiménez Martinez (SPA) | Farto-Btc Women's Cycling Team | - |
| DNF | Iurani Blanco Calbet (SPA) | Laboral Kutxa - Fundación Euskadi | - |
| DNF | Charlotte Clarke (NZL) | | - |
| DNF |  Nesrine Houili (ALG) | | - |
| DNF | Alba Puig (SPA) | | - |
| DNF | Prisca Savi (ITA) | Be Pink | - |
| DNF | Xubane Garai Lazkano (SPA) | | - |
| DNF | Mercedes Carmona Ramos (SPA) | Cantabria Deporte - Rio Miera | - |
| DNF |  Veronika Jandová (CZE) | Farto-Btc Women's Cycling Team | - |
| DNF | Elisabet Escursell Valero (SPA) | Massi - Tactic | - |
| DNF | Sarah Kastenhuber (GER) | Sopela Women's Team | - |
| DNF |  Teniel Campbell (TRI) | | - |
| DNF | Marina Sabate (SPA) | | - |
| DNF | Pija Galof (SLO) | Btc - City Ljubljana - Scott | - |
| DNF | Lur Zufiria Aranguren (SPA) | | - |
| DNF | Mariana Herrera Serrano (COL) | | - |
| DNF |  Erialis Otero Otero (PUR) | | - |
| DNF | Inès Van Der Linden (FRA) | | - |
| DNF | Giorgia Bariani (ITA) | | - |
| DNF | Lara Vieceli (ITA) | Team Jayco Alula | - |
| DNF | Txell Claret Bonmati (SPA) | | - |
| DNF |  Llori Sharpe (JAM) | | - |
| DNF | Ziortza Ortiz Beltran de Nanclares (SPA) | | - |
| DNF | Ziortza Isasi Cristobal (SPA) | Be Pink | - |
| DNF | Natalia Serrano Garcia (SPA) | Cantabria Deporte - Rio Miera | - |
| DNF | Azulde Britz (RSA) | Farto-Btc Women's Cycling Team | - |
| DNF | Estefania Jimenez (SPA) | | - |
| DNF | Carolina Leonardo Sanchez (SPA) | Sopela Women's Team | - |
| DNF | Daniela Schmidsberger (AUT) | | - |
| DNF | Helena Moragas Molina (SPA) | | - |
| DNF | Carolina Esteban Fernandez (SPA) | Bizkaia - Durango | - |
| DNF | Olatz Gabilondo Zenitagoia (SPA) | | - |
| DNF | Jireh Mesa Valcarcel (COL) | | - |
| DNF | Lukene Trujillano Gotxi (SPA) | Cantabria Deporte - Rio Miera | - |
| DNF |  Petra Zsankó (HUN) | Massi - Tactic | - |
| DNS |  Catalina Anais Soto Campos (CHI) | Bizkaia - Durango | - |
| DNS |  Diane Ingabire (RWA) | | - |
