I agree with what is said above with one caveat. Parts, especially quality parts, are getting harder to find for these older trucks. As mentioned, for many parts it is already not possible to get anything other than Chinese manufactured replacements that may actually last less time than your 15 year old OE alternator. There are many Chinese manufactured parts that are fine but I wouldn't rush into installing one unless I didn't have any other choice.
I think a new Remy,
REMY 92516 Gold 130A Alternator ($139.79 +ship)
or a remanufactured Remy, Denso, or Bosch,
REMY 23687 Premium Remanufactured 130A Alternator ($89.79 $40 core, +ship)
DENSO 2105313 First Time Fit Remanufactured 130A Alternator w/o Black Rear Cover ($114.99, $34 core +ship)
BOSCH AL7541X Remanufactured 130A Alternator ($117.79, $40 core, +ship)
will be a quality product and give good service. I new Bosch or Motorcraft would be the best option but neither of these are listed at RockAuto. That doesn't mean that they are not available but it may take some looking. A new Motorcraft will be expensive, even if you can find it. I think that ACDelco parts are quality as well. A remanufactured Motorcraft should also be a good part but I not sure I would pay more for that then for a new Remy.
I would keep your OE alternator on your truck until it stops working, but I don't think it would be silly to buy one of these and keep it on hand in case your original alternator fails. Keep in mind that if you buy a part like that it will likely be out of warranty before you install it, so that is one downside. I watch for parts that I know I may eventually need and see when they are on sale. I have a box in the basement with a few things that I will likely need to change out at some point. Worst case I will sell them on ebay.
Periodically check the output of your alternator in volts. Just connect the red lead of a DMM to the red terminal on the alternator and the black lead to the black terminal on your battery. Check the amps at idle and at 1000 rpm. If you notice the amps dropping below 14 or so then you might want to think about changing it out.
Also check the 4 idler pulleys on the engine block and the tensioner. The bearings go in these and if you do have to replace the alternator, it will be a good time to do some related maintained. Sometimes what looks like a bad alternator is actually a worn out tensioner or a stretched belt. The alternator rpms/amps will drop without the proper tension on the belt.
LMHmedchem