16.203-4(d)(2)(90)
Use 52.216-9042, Economic Price Adjustment (EPA) - Department of Labor Bureau of Labor Statistics - Consumer Price Index, in Medical FAR Part 12 solicitations and contracts under the DoD/VA Shared Procurement Program when the Contracting officer determines that an EPA is appropriate, the adjustment scenario below, which is based on changes in the Consumer Price Index (CPI), is suitable for the instant acquisition and the concurrence of the C&P Medical Support Team is received prior to using the clause.
Adjustments are based upon changes in the CPI for the expenditure category "Prescription Drugs and Medical Supplies" or "Nonprescription Drugs and Medical Supplies." Upward adjustments may be requested by the Contractor once annually to cover each option year. Downward adjustments during the option years are mandated whenever the CPI goes down. An additional downward adjustment is mandated whenever the contractor has a Federal Supply Schedule (FSS) for the same item and that price is reduced to one that is lower than the current unit price on Medical's contract.