I found this tool, which is an updated version of the printout manager for 2007 that works with 2010
The gist of the tool is that it splits printouts into multiple pages instead of having them all in one.
The 64bit version doesn't seem to install properly, but the 32bit worked like a charm. They are both in the setup.exe at the bottom of the article.
It seems to work pretty well, and is very customizable:
I ran into an issue on another machine i was setting this up on. I ended up installing the 2007 version of the tool instead. It still works with 2010 if you convert the notebook to 2007 before running it. See instructions for doing this. Please note that the old version installs itself into an add-ins tab instead of under the insert tab.