@Headcase,
I don't think this thread has wandered all that far......couple of comments and questions about prescribing that were addressed by Mark with my comments about those and other problems I am experiencing with prescribing and about your original question, the italicized medication issue. I see it as something that is all tied together with Version 11.

What Version of 11 are you currently using? As I posted, we are now on 11.1.4.....monitoring to see if this has changed the italicized med problem. We are still finding meds that we changed to italicized that were not before version 11.1.1 At one point, Mark@AC asked what specific medications. I am not able to clearly answer that because I have found several that were changed, montelukast, olmesartan, lorazepam, Vitamin D...can't remember all of them.

I am not sure if it is fixed yet, updated to 11.1.4 and monitoring but has only been a week. Will keep you updated as I can.

Does not seem to be New Crop issue because it started with version 11 as Wendell365 stated.

I agree "Time required to fix this is kind of adding up...." thus my rant above. I have been waiting to see if Mark@AC would come back and comment, give us some heads up on something changing. Maybe your questions will be better answered by him.