The Chevy NV4500 is better, it has a 32 spline out put shaft. The Dodges came with a 29 rather hard to get a decent T-case. You can change to a Dodge in-put and a Dodge bell housing.
The 29 spline is cut differently than the 32, the 29 spline connection is significantly bigger.
Beyond that, you can mix/match GM and Dodge 4500 parts for the most part (Dodge input in GM case, etc), but my understanding is that the GM 32 spline output uses different 5th gear parts that there aren't any fixes for. I don't know how that would work behind a Cummins, but I would be concerned about it.
Run fast and far from the Getrag
Personal experience or stuff you read?
From my research before I bought my drivetrain ('93 12V/Getrag/205), the main problem was when they first came out ('89), customers complained that the transmission rattled at low RPM. Yeah, an engine with almost a 4-3/4" stroke, 1L per cylinder and a lot more rotating weight than pretty much anything (twice the rotating weight of a 350?) is going to vibrate a bit at lower RPM.
The fix was to preload the bearings more than Getrag called for, and guess what, they became known for burning up mainshaft bearings (the only issue the Getrag is "known for"). Apparently Dodge re-shimmed pretty much all of them, which is probably where the problems really came from (bearings that were quieter at lower RPM but didn't last).
I had to rebuild mine (original at just over 200K) last year, I set it to factory spec (which I heard, from people that actually have made them last and actually use them, is key) to factory spec. IIRC I pulled about .015" worth of shims out, mine had been seen WAY too much preload at some point.
Getrags are known to kill mainshaft bearings, but overfilling them and setting the bearing preload right seems to make them reliable. And their 5th gears don't fall off
NV4500's are generally good other than the 5th gear deal, and I've heard the "fix" is even kind of marginal. Both the 4500 (pilot bearing) and Getrag (pilot bushing) eat the input bearing/bushing, best to machine the flywheel for a ball bearing. NV4500's are almost always more expensive and only came with driver's drop t-cases (the Dodge version anyway).
NV5600's were only made for 2-3 years if I remember right, transmissions are $$$, parts are $$$$ and you have to spend $$$ with Advance Adapters to make it work with a 12V.
The G56's (a Getrag also, FWIW) seem good from what I've seen, but probably the most expensive of the bunch. They have some problems but I think it's because they, at the very least on average, see the most power of the bunch. And probably $$$$ to adapt to a 12V.