The invention relates to an apparatus, system and method for managing medication. In an aspect, an adaptable pill organizer comprises of at least one or more rectangular units for containing pills. Individual units and/or rows of seven units—attach and detach from one another in order to create a custom pill organizer. The adaptable pill organizer further employs electronic capabilities which: allow user to input, store and display information on the pill organizer provide lighting means for the device provide various automatic and/or commanded physical responses to usage of the device such as the lighting of a unit, or the opening and closing of a unit provide programmed alarms communicate data messages and usage information with third party devices and store and provide access to user medication and medication schedule information.