The styling is completely different from the Dash body, with a rounded roof dome and deep double-curvature windscreen with plastic mouldings under the windscreen to make it look deeper, and large circular headlights and circular front indicators, it also has a separately mounted destination box.

Operators of the Alexander ALX200 in the United Kingdom mainly included Stagecoach, whose orders included 90 ALX200s built on the Volvo B6LE chassis, the FirstGroup, Arriva and Newport Transport, who operated ALX200s on 8.8m Dart SLF chassis.

The ALX200 on Dennis Dart SLF chassis was purchased by some Cowie Group companies, with Yorkshire Buses taking delivery of 30 of the type in April 1997 for services in Dewsbury, replacing the operator's last Leyland Nationals.

A total of 216 were delivered between 1997 and 2001, with thirteen of these used for a contract route connecting Liverpool Street station and London City Airport.

Citybus of Hong Kong purchased ten ALX200-bodied Volvo B6LE buses in 1997 for use on route 260 serving Stanley and Central, which were withdrawn and returned to the UK two years later due to structural defects,[4] while 50 Alexander ALX200s were bodied on left hand drive Dennis Dart SLF chassis for use by Arriva Netherlands in 2000.