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Date: 17 October 1968
Summary
Final 1
| Rank | Name | Nation | Time |
| 1 | Zachary Zorn; Stephen Rerych; Mark Spitz; Kenneth Walsh | USA | 3:31.7 |
| 2 | Semyon Belits-Geiman; Viktor Mazanov; Georgy Kulikov; Leonid Ilichev | URS | 3:34.2 |
| 3 | Gregory Rogers; Robert Cusack; Robert Windle; Michael Wenden | AUS | 3:34.7 |
| 4 | Mike Turner; Robert McGregor; David Hembrow; Anthony Jarvis | GBR | 3:38.4 |
| 5 | Frank Wiegand; Horst-Gunter Gregor; Udo Poser; Lothar Gericke | GDR | 3:38.8 |
| 6 | Peter Schorning; Wolfgang Kremer; Olaf von Schilling; Hans Fassnacht | FRG | 3:39.0 |
| 7 | Glen Finch; George Smith; Ralph Hutton; John Gilchrist | CAN | 3:39.2 |
| 8 | Kunihiro Iwasaki; Masayuki Ohsawa; Satoru Nakano; Teruhiko Kitani | JPN | 3:41.5 |