Thanks for the reply. Did the process I described at least get rid of the default to PDF problem? I know AC tech has seen and been told about the printer PDF issue.

Were you able to set a different printer before going to 11.4.3? If so how?

Maybe if it could be a user preference to set different printers instead of an admin all practice solution?

I know there are laws in different states about printers and special papers etc for prescriptions so maybe this played into how AC set up this part of prescribing.