diff --git a/src/Microsoft.Health.Fhir.SqlServer/Features/Search/Expressions/Visitors/QueryGenerators/TokenQueryGenerator.cs b/src/Microsoft.Health.Fhir.SqlServer/Features/Search/Expressions/Visitors/QueryGenerators/TokenQueryGenerator.cs
index 2d52204cd0..7e6f738c00 100644
--- a/src/Microsoft.Health.Fhir.SqlServer/Features/Search/Expressions/Visitors/QueryGenerators/TokenQueryGenerator.cs
+++ b/src/Microsoft.Health.Fhir.SqlServer/Features/Search/Expressions/Visitors/QueryGenerators/TokenQueryGenerator.cs
@@ -48,13 +48,6 @@ public override SearchParameterQueryGeneratorContext VisitString(StringExpressio
                     return context;
 
                 case FieldName.TokenCode:
-                    // Temporary fix, once all of the databases are reindexed truncation128 should be removed.
-                    bool truncation128 = expression.Value.Length > 128;
-                    if (truncation128)
-                    {
-                        context.StringBuilder.Append("((");
-                    }
-
                     if (expression.Value.Length < VLatest.TokenSearchParam.Code.Metadata.MaxLength)
                     {
                         // In this case CodeOverflow in the DB table is always NULL, no need to test. There are SQL constraints in each table to enforce this.
@@ -82,13 +75,6 @@ public override SearchParameterQueryGeneratorContext VisitString(StringExpressio
                         VisitSimpleString(expression, context, VLatest.TokenSearchParam.CodeOverflow, expression.Value[codeLength..]);
                     }
 
-                    if (truncation128)
-                    {
-                        context.StringBuilder.Append(") OR (");
-                        VisitSimpleString(expression, context, VLatest.TokenSearchParam.Code, expression.Value[..128]);
-                        context.StringBuilder.Append("))");
-                    }
-
                     break;
                 default:
                     throw new InvalidOperationException();
diff --git a/src/Microsoft.Health.Fhir.SqlServer/Features/Search/SqlServerSearchService.cs b/src/Microsoft.Health.Fhir.SqlServer/Features/Search/SqlServerSearchService.cs
index 8a524cc7b9..f0b96a3467 100644
--- a/src/Microsoft.Health.Fhir.SqlServer/Features/Search/SqlServerSearchService.cs
+++ b/src/Microsoft.Health.Fhir.SqlServer/Features/Search/SqlServerSearchService.cs
@@ -2335,12 +2335,6 @@ public IEnumerable<TokenListRow> GenerateRows(IList<Token> tokens)
                     }
 
                     yield return new TokenListRow(code, codeOverflow, token.SystemId, token.SystemValue);
-
-                    // truncation128 logic: see TokenQueryGenerator or ask RB
-                    if (token.Code.Length > 128)
-                    {
-                        yield return new TokenListRow(code[..128], null, token.SystemId, token.SystemValue);
-                    }
                 }
             }
         }
diff --git a/test/Microsoft.Health.Fhir.Shared.Tests.Integration/Persistence/SqlComplexQueryTests.cs b/test/Microsoft.Health.Fhir.Shared.Tests.Integration/Persistence/SqlComplexQueryTests.cs
index 492c1bab1b..3f7567ad39 100644
--- a/test/Microsoft.Health.Fhir.Shared.Tests.Integration/Persistence/SqlComplexQueryTests.cs
+++ b/test/Microsoft.Health.Fhir.Shared.Tests.Integration/Persistence/SqlComplexQueryTests.cs
@@ -42,7 +42,6 @@ public class SqlComplexQueryTests : IClassFixture<FhirStorageTestsFixture>
     {
         private readonly FhirStorageTestsFixture _fixture;
         private readonly ITestOutputHelper _output;
-        private string _truncation128code = $"prefix {new string('z', 128)}";
         private string _codeWithOverflow = $"prefix {new string('z', 256)}";
 
         public SqlComplexQueryTests(FhirStorageTestsFixture fixture, ITestOutputHelper output)
@@ -92,10 +91,8 @@ public async Task SearchByTokens_GetResourcesByTokensIsUsed()
             await CheckStoredProcedureUsage([Tuple.Create("identifier", "NotExisting|A")], 0, spName);
             //// not existing system plus
             await CheckStoredProcedureUsage([Tuple.Create("identifier", "NotExisting|A,TestSystem|B")], 1, spName);
-            //// truncation
-            await CheckStoredProcedureUsage([Tuple.Create("identifier", _truncation128code)], 2, spName);
-            //// overflow. 1 with exact match + 1 from truncate 128 logic
-            await CheckStoredProcedureUsage([Tuple.Create("identifier", _codeWithOverflow)], 2, spName);
+            //// overflow.
+            await CheckStoredProcedureUsage([Tuple.Create("identifier", _codeWithOverflow)], 1, spName);
         }
 
         private async Task CheckStoredProcedureUsage(IReadOnlyList<Tuple<string, string>> queryParameters, int expectedResources, string spName, bool validateSpIsUsed = true)
@@ -369,8 +366,6 @@ private async Task PrepareData()
             await _fixture.Mediator.UpsertResourceAsync(CreateTestPatient(null, new Identifier(null, "A")).ToResourceElement());
             await _fixture.Mediator.UpsertResourceAsync(CreateTestPatient(null, new Identifier("TestSystem", "B")).ToResourceElement());
             await _fixture.Mediator.UpsertResourceAsync(CreateTestPatient(null, new Identifier(null, "B")).ToResourceElement());
-            await _fixture.Mediator.UpsertResourceAsync(CreateTestPatient(null, new Identifier(null, _truncation128code[..128])).ToResourceElement());
-            await _fixture.Mediator.UpsertResourceAsync(CreateTestPatient(null, new Identifier(null, _truncation128code)).ToResourceElement());
             await _fixture.Mediator.UpsertResourceAsync(CreateTestPatient(null, new Identifier(null, _codeWithOverflow)).ToResourceElement());
             //// search indexes are not calculated for whatever reason, so populating TokenSearchParam manually
             await _fixture.SqlHelper.ExecuteSqlCmd(@$"
@@ -390,11 +385,9 @@ SELECT ResourceTypeId
         ,Code = CASE 
                   WHEN RowId IN (1,2) THEN 'A' 
                   WHEN RowId IN (3,4) THEN 'B' 
-                  WHEN RowId = 5 THEN '{_truncation128code[..128]}'
-                  WHEN RowId = 6 THEN '{_truncation128code}'
-                  WHEN RowId = 7 THEN '{_codeWithOverflow[..256]}'
+                  WHEN RowId = 5 THEN '{_codeWithOverflow[..256]}'
                 END
-        ,CodeOverflow = CASE WHEN RowId = 7 THEN '{_codeWithOverflow[256..]}' END
+        ,CodeOverflow = CASE WHEN RowId = 5 THEN '{_codeWithOverflow[256..]}' END
     FROM (SELECT RowId = row_number() OVER (ORDER BY ResourceSurrogateId), * FROM dbo.Resource) A
             ");
         }