While I was checking the truck over before a trip recently, I found the trans oil was low. Instead of just filling it, I thought it was a good time to change it. The manual says you don't need to but...
I changed it with Mobil 1 5W30 synthetic and filled it with one quart extra thru the shifter. Took about 5 qts. It really made a difference - now it shifts smoother and is quieter. I wouldn't have said the trans was noisy at all before, but it is quieter now. With the Cummins rattlin' up there, it was hard to notice any transmission noise.
So far, at 127K, my Getrag seems happy (crossing fingers).
So, if you have any minor noise you think is from the trans or if it isn't shifting as easily as in the past, you might try changing the oil and put off of laying out the cash for an NV4500 until you have to.
I changed it with Mobil 1 5W30 synthetic and filled it with one quart extra thru the shifter. Took about 5 qts. It really made a difference - now it shifts smoother and is quieter. I wouldn't have said the trans was noisy at all before, but it is quieter now. With the Cummins rattlin' up there, it was hard to notice any transmission noise.

So, if you have any minor noise you think is from the trans or if it isn't shifting as easily as in the past, you might try changing the oil and put off of laying out the cash for an NV4500 until you have to.