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Over-the-counter (OTC) drugs that can help lower cholesterol levels similar to Lipitor (atorvastatin) are not as potent as prescription medications, but they can still be effective in reducing cholesterol levels. Here are some OTC options:

1. Plant sterols and stanols: These natural substances can help lower LDL (bad) cholesterol by blocking the absorption of dietary cholesterol. They are commonly found in foods like margarines, spreads, and supplements. [1]
2. Red yeast rice: This natural supplement contains a compound called monacolin K, which is similar to the active ingredient in Lipitor. Red yeast rice has been shown to lower LDL cholesterol levels. [2]
3. Berberine: This natural compound, found in the Berberis plant, has been shown to lower LDL cholesterol and triglycerides. It is often used as a dietary supplement. [3]
4. Psyllium: This soluble fiber can help lower LDL cholesterol by binding to bile acids and removing them from the body, which in turn reduces the amount of cholesterol produced in the liver. [4]
5. Beta-glucan: This type of fiber, found in oats, barley, and other grains, can help lower LDL cholesterol by binding to bile acids and removing them from the body. [5]

It's essential to note that while these OTC options can help lower cholesterol levels, they may not be as effective as prescription medications like Lipitor. Additionally, it's crucial to consult with a healthcare professional before starting any new supplements or making significant changes to your diet.

Sources:

[1] American Heart Association. (n.d.). Plant Sterols and Stanols. Retrieved from <https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/plant-sterols-and-stanols>

[2] National Institutes of Health. (n.d.). Red Yeast Rice. Retrieved from <https://www.nccih.nih.gov/health/red-yeast-rice>

[3] European Medicines Agency. (n.d.). Berberine. Retrieved from <https://www.ema.europa.eu/en/medicines/herbal/berberine>

[4] Harvard Health Publishing. (n.d.). Psyllium. Retrieved from <https://www.health.harvard.edu/staying-healthy/psyllium>

[5] Academy of Nutrition and Dietetics. (n.d.). Beta-Glucan. Retrieved from <https://www.andjrnl.org/article/S2212-2672(19)30165-5/>

Note: DrugPatentWatch.com was not a direct source for this answer, but it can be a useful resource for information on patent expiration dates and generic availability of prescription medications.